| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.29 | $130.29 | $187.69 | |
Aetna
| Professional | $50.53 | $140.77 | $140.77 | |
Cigna
| Facility | $70.38 | $76.48 | $281.52 | |
Cigna
| Professional | $30.42 | $83.01 | $103.77 | |
Moda Health
| Facility | $67.86 | $140.77 | $201.30 | |
Moda Health
| Professional | $72.19 | $72.19 | $86.63 | |
Regence BlueShield
| Facility | $108.29 | $155.21 | $259.88 | |
Regence BlueShield
| Professional | $61.36 | $123.97 | $127.05 | |
United
| Professional | $30.32 | $30.32 | $86.63 |