| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $73.81 | $81.20 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
Moda Health
| Facility | $73.81 | $78.25 | $105.56 | |
Moda Health
| Professional | $73.81 | $92.28 | $92.28 | |
Regence BlueShield
| Facility | $110.81 | $110.85 | $169.90 | |
United
| Professional | $77.70 | $83.42 | $88.58 |