| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.17 | $30.16 | $76.73 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Moda Health
| Facility | $27.10 | $41.60 | $69.33 | |
Moda Health
| Professional | $45.13 | $45.13 | $47.51 | |
Molina
| Professional | $30.00 | $41.76 | $92.64 | |
Regence BlueShield
| Professional | $33.26 | $33.26 | $49.89 | |
United
| Professional | $19.17 | $20.14 | $32.65 |