| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.73 | $30.91 | $57.86 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Moda Health
| Facility | $24.32 | $42.64 | $63.65 | |
Moda Health
| Professional | $40.51 | $40.51 | $42.64 | |
Molina
| Professional | $30.00 | $37.47 | $83.15 | |
Regence BlueShield
| Professional | $29.85 | $29.85 | $44.77 | |
United
| Professional | $17.20 | $18.07 | $29.30 |