| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.06 | $3.06 | $3.06 | |
Aetna
| Professional | $2.88 | $2.99 | $3.10 | |
Cigna
| Facility | $3.06 | $3.06 | $3.06 | |
Cigna
| Professional | $3.06 | $3.06 | $3.06 | |
Moda Health
| Facility | $1.46 | $3.26 | $45.66 | |
Moda Health
| Professional | $1.46 | $19.07 | $57.76 | |
Molina
| Professional | $2.92 | $30.00 | $3,900.00 | |
Regence BlueShield
| Professional | $50.16 | $50.16 | $62.70 | |
United
| Professional | $3.00 | $3.00 | $3.00 |