| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $92.00 | $433.28 | |
Aetna
| Professional | $2.69 | $2.75 | $4.04 | |
Cigna
| Facility | $2.75 | $2.75 | $2.75 | |
Cigna
| Professional | $2.75 | $2.75 | $2.75 | |
Hally Health
| Professional | $41.74 | $41.74 | $44.69 | |
Moda Health
| Facility | $2.59 | $2.79 | $3.99 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Facility | $8.86 | $12.68 | $21.13 | |
United
| Professional | $2.70 | $2.70 | $3.78 |