| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.63 | $93.63 | $93.63 | |
Aetna
| Professional | $64.65 | $76.55 | $95.41 | |
Cigna
| Professional | $81.58 | $110.17 | $129.61 | |
Moda Health
| Facility | $66.53 | $93.63 | $119.85 | |
Regence BlueShield
| Professional | $81.86 | $96.31 | $107.02 | |
United
| Professional | $62.36 | $90.62 | $139.38 |