| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $91.20 | |
Aetna
| Professional | $19.05 | $28.18 | $67.61 | |
BCBS
| Facility | $35.48 | $66.07 | $125.89 | |
BCBS
| Professional | $35.48 | $35.48 | $35.48 | |
Cigna
| Facility | $27.54 | $72.44 | $138.04 | |
Moda Health
| Facility | $35.48 | $35.48 | $69.18 | |
Moda Health
| Professional | $32.36 | $37.15 | $43.65 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
Regence BlueShield
| Facility | $52.48 | $67.61 | $125.89 | |
Regence BlueShield
| Professional | $29.51 | $29.51 | $37.15 | |
Select Health
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Professional | $14.79 | $14.79 | $35.48 |