| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.95 | $59.70 | $113.63 | |
Cigna
| Professional | $34.15 | $34.15 | $34.15 | |
Moda Health
| Facility | $47.76 | $73.31 | $120.45 | |
Moda Health
| Professional | $79.53 | $79.53 | $83.72 | |
Molina
| Professional | $30.00 | $73.58 | $163.25 | |
Regence BlueShield
| Professional | $58.60 | $58.60 | $87.91 | |
United
| Professional | $33.79 | $35.50 | $65.54 |