| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.40 | $46.40 | $46.40 | |
Aetna
| Professional | $27.71 | $46.17 | $65.11 | |
Cigna
| Facility | $36.61 | $36.61 | $36.61 | |
Cigna
| Professional | $26.73 | $36.61 | $39.03 | |
Moda Health
| Facility | $17.53 | $53.99 | $68.41 | |
Moda Health
| Professional | $61.57 | $64.98 | $68.41 | |
Molina
| Professional | $30.00 | $51.11 | $61.57 | |
Regence BlueShield
| Facility | $59.91 | $66.81 | $100.22 | |
Regence BlueShield
| Professional | $47.89 | $47.89 | $71.83 | |
United
| Professional | $25.10 | $27.15 | $43.06 |