| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.89 | $94.96 | $122.07 | |
Cigna
| Professional | $85.76 | $130.78 | $163.47 | |
Moda Health
| Facility | $89.01 | $122.07 | $153.97 | |
Moda Health
| Professional | $1,140.00 | $1,140.00 | $1,148.00 | |
Molina
| Professional | $17.62 | $30.00 | $3,500.00 | |
Regence BlueShield
| Professional | $108.49 | $127.63 | $141.00 | |
United
| Professional | $84.73 | $107.64 | $146.90 |