| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.67 | $65.67 | $72.23 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
Moda Health
| Facility | $65.67 | $69.61 | $93.91 | |
Regence BlueShield
| Facility | $104.72 | $110.36 | $160.56 | |
United
| Professional | $77.26 | $88.08 | $88.08 |