| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.15 | $57.15 | $57.15 |
Aetna
| Professional | $170.91 | $336.30 | $477.50 | |
Cigna
| Professional | $321.64 | $337.34 | $439.58 | |
Moda Health
| Professional | $355.46 | $409.32 | $479.06 | |
Molina
| Professional | $32.34 | $39.79 | $382.86 | |
Regence BlueShield
| Professional | $440.69 | $467.17 | $535.77 | |
United
| Professional | $162.75 | $221.95 | $398.85 |