| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.61 | $119.61 | $142.33 | |
Cigna
| Facility | $131.35 | $131.35 | $131.35 | |
Cigna
| Professional | $131.35 | $131.35 | $131.35 | |
Moda Health
| Facility | $36.52 | $119.61 | $171.04 | |
Regence BlueShield
| Professional | $71.37 | $71.37 | $72.98 | |
United
| Professional | $132.53 | $140.74 | $164.19 |