| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.84 | $141.55 | $205.79 | |
Aetna
| Professional | $36.84 | $40.60 | $68.43 | |
Cigna
| Facility | $27.37 | $72.98 | $136.86 | |
Cigna
| Professional | $20.38 | $26.27 | $64.42 | |
Moda Health
| Facility | $42.21 | $72.54 | $210.90 | |
Moda Health
| Professional | $35.09 | $35.79 | $42.11 | |
Molina
| Professional | $26.84 | $31.58 | $68.43 | |
Regence BlueShield
| Facility | $52.64 | $78.95 | $129.13 | |
Regence BlueShield
| Professional | $60.53 | $61.48 | $68.70 | |
United
| Professional | $14.74 | $20.05 | $76.42 |