| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.36 | $97.21 | $133.46 | |
Cigna
| Professional | $78.65 | $121.32 | $152.65 | |
Moda Health
| Facility | $72.81 | $113.06 | $136.13 | |
Moda Health
| Professional | $94.55 | $139.29 | $168.84 | |
Molina
| Professional | $32.34 | $64.98 | $137.87 | |
Regence BlueShield
| Professional | $116.89 | $116.93 | $141.58 | |
United
| Professional | $70.73 | $103.63 | $142.10 |