| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.00 | $80.00 | $80.00 | |
Cigna
| Facility | $139.91 | $161.38 | $634.67 | |
Moda Health
| Facility | $94.96 | $94.96 | $121.55 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 | |
Regence BlueShield
| Facility | $307.89 | $429.29 | $524.42 |