| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.70 | $74.50 | $126.60 | |
Cigna
| Facility | $70.36 | $70.36 | $70.36 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
Moda Health
| Facility | $66.56 | $70.55 | $95.18 | |
Moda Health
| Professional | $62.82 | $62.82 | $69.09 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Professional | $84.58 | $84.58 | $86.50 | |
United
| Professional | $71.98 | $76.44 | $76.58 |