| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.54 | $142.11 | $305.83 | |
Cigna
| Facility | $134.47 | $134.47 | $134.47 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
Moda Health
| Facility | $127.55 | $135.19 | $182.40 | |
Moda Health
| Professional | $120.06 | $120.06 | $132.07 | |
Regence BlueShield
| Professional | $117.98 | $117.98 | $120.66 | |
United
| Professional | $134.99 | $144.07 | $192.10 |