| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.78 | $147.78 | $212.89 | |
Aetna
| Professional | $57.32 | $159.66 | $159.66 | |
Cigna
| Facility | $79.83 | $86.75 | $319.32 | |
Cigna
| Professional | $42.58 | $94.16 | $117.71 | |
Moda Health
| Facility | $76.97 | $159.66 | $169.25 | |
Moda Health
| Professional | $81.88 | $81.88 | $98.26 | |
Regence BlueShield
| Facility | $122.82 | $184.23 | $301.32 | |
Regence BlueShield
| Professional | $69.59 | $140.84 | $144.03 | |
United
| Professional | $34.39 | $39.95 | $132.74 |