| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.84 | $26.66 | $49.00 | |
Cigna
| Professional | $14.73 | $14.73 | $14.73 | |
Moda Health
| Facility | $20.60 | $35.56 | $53.90 | |
Moda Health
| Professional | $34.29 | $34.29 | $36.10 | |
Molina
| Professional | $26.97 | $31.73 | $70.40 | |
Regence BlueShield
| Professional | $25.27 | $25.27 | $37.90 | |
United
| Professional | $14.57 | $15.31 | $24.81 |