| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.55 | $82.55 | $83.43 | |
Aetna
| Professional | $55.11 | $63.93 | $82.55 | |
Cigna
| Professional | $39.00 | $65.00 | $109.16 | |
Moda Health
| Facility | $55.41 | $82.55 | $107.33 | |
Moda Health
| Professional | $92.33 | $98.65 | $113.22 | |
Molina
| Professional | $30.00 | $54.10 | $94.68 | |
Regence BlueShield
| Professional | $52.88 | $69.15 | $97.59 | |
United
| Professional | $66.88 | $95.04 | $119.68 |