| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.49 | $2.49 | $37.50 | |
Aetna
| Professional | $1.10 | $2.94 | $2.94 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Moda Health
| Facility | $2.94 | $2.94 | $4.20 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Facility | $11.00 | $15.00 | $25.50 |