| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.03 | $92.83 | $158.21 | |
Cigna
| Professional | $57.28 | $100.88 | $164.30 | |
Moda Health
| Facility | $53.76 | $97.92 | $166.12 | |
Moda Health
| Professional | $95.27 | $124.12 | $191.50 | |
Molina
| Professional | $30.00 | $55.00 | $174.62 | |
Regence BlueShield
| Professional | $75.70 | $95.27 | $139.06 | |
United
| Professional | $81.00 | $116.53 | $165.89 |