| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.14 | $166.14 | $176.20 | |
Cigna
| Professional | $73.02 | $77.44 | $91.11 | |
Moda Health
| Facility | $129.62 | $166.14 | $185.01 | |
Moda Health
| Professional | $141.44 | $153.16 | $171.74 | |
Molina
| Professional | $32.34 | $32.34 | $171.48 | |
Regence BlueShield
| Professional | $149.38 | $154.81 | $166.87 | |
United
| Professional | $56.98 | $60.41 | $119.04 |