| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.90 | $72.34 | $72.34 | |
Aetna
| Professional | $36.11 | $36.11 | $72.34 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Moda Health
| Facility | $64.95 | $68.20 | $83.14 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Facility | $158.91 | $193.86 | $285.04 |