| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.95 | $63.57 | $168.70 | |
Cigna
| Professional | $20.81 | $80.14 | $141.81 | |
Moda Health
| Professional | $25.08 | $38.97 | $151.38 | |
Molina
| Professional | $32.34 | $107.91 | $152.00 | |
Regence BlueShield
| Professional | $26.06 | $57.72 | $168.93 | |
United
| Professional | $75.62 | $114.80 | $158.79 |