| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.51 | $217.46 | $253.93 | |
Cigna
| Facility | $139.91 | $161.38 | $634.67 | |
Moda Health
| Facility | $217.46 | $217.46 | $278.35 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 | |
Regence BlueShield
| Facility | $194.31 | $413.40 | $524.42 |