| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.74 | $25.25 | $32.76 | |
Cigna
| Facility | $24.80 | $24.80 | $24.80 | |
Cigna
| Professional | $18.10 | $24.80 | $26.43 | |
Moda Health
| Facility | $11.59 | $28.12 | $37.42 | |
Moda Health
| Professional | $33.68 | $35.54 | $37.42 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $32.76 | $36.54 | $54.81 | |
Regence BlueShield
| Professional | $26.19 | $27.15 | $39.29 | |
United
| Professional | $15.80 | $17.09 | $27.11 |