| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.01 | $164.60 | $313.07 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
Moda Health
| Facility | $164.60 | $174.48 | $235.38 | |
Moda Health
| Professional | $156.62 | $156.62 | $172.28 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Professional | $205.86 | $205.86 | $210.54 | |
United
| Professional | $177.07 | $188.04 | $188.04 |