| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.22 | $71.22 | $130.38 | |
Aetna
| Professional | $42.16 | $65.38 | $109.35 | |
Cigna
| Professional | $62.42 | $85.31 | $139.94 | |
Moda Health
| Facility | $43.97 | $72.59 | $112.86 | |
Moda Health
| Professional | $67.25 | $126.00 | $155.26 | |
Molina
| Professional | $32.34 | $72.59 | $141.55 | |
Regence BlueShield
| Professional | $58.21 | $83.98 | $125.62 | |
United
| Professional | $83.99 | $113.50 | $154.35 |