| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.93 | $24.49 | $53.58 | |
Cigna
| Professional | $13.54 | $13.54 | $13.54 | |
Moda Health
| Facility | $18.92 | $33.18 | $49.53 | |
Moda Health
| Professional | $31.52 | $31.52 | $33.18 | |
Molina
| Professional | $24.79 | $29.86 | $64.70 | |
Regence BlueShield
| Professional | $23.23 | $23.23 | $34.84 | |
United
| Professional | $13.39 | $14.06 | $22.81 |