| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.74 | $291.91 | $656.69 | |
Cigna
| Professional | $164.20 | $224.41 | $448.80 | |
Moda Health
| Professional | $198.02 | $286.56 | $511.72 | |
Molina
| Professional | $30.00 | $78.00 | $455.40 | |
Regence BlueShield
| Professional | $227.88 | $247.47 | $532.53 | |
United
| Professional | $244.12 | $323.10 | $509.77 |