| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.38 | $124.38 | $179.19 | |
Aetna
| Professional | $48.24 | $134.38 | $134.38 | |
Cigna
| Facility | $268.80 | $268.80 | $268.80 | |
Cigna
| Professional | $65.45 | $79.30 | $99.12 | |
Moda Health
| Facility | $64.78 | $134.38 | $142.44 | |
Moda Health
| Professional | $68.92 | $68.92 | $82.70 | |
Regence BlueShield
| Facility | $103.38 | $137.84 | $248.11 | |
Regence BlueShield
| Professional | $58.58 | $118.15 | $121.20 | |
United
| Professional | $28.95 | $34.03 | $97.24 |