| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.88 | $132.88 | $372.70 | |
Cigna
| Facility | $48.24 | $53.77 | $201.36 | |
Moda Health
| Facility | $132.88 | $132.88 | $170.09 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 | |
Regence BlueShield
| Facility | $97.68 | $136.88 | $167.22 |