| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.91 | $34.83 | $64.03 | |
Cigna
| Professional | $19.25 | $19.25 | $19.25 | |
Moda Health
| Facility | $28.21 | $56.58 | $77.66 | |
Moda Health
| Professional | $44.82 | $44.82 | $47.18 | |
Molina
| Professional | $30.00 | $41.46 | $92.00 | |
Regence BlueShield
| Professional | $33.03 | $33.03 | $49.54 | |
United
| Professional | $19.04 | $20.01 | $34.07 |