| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.53 | $66.59 | $126.60 | |
Cigna
| Professional | $21.04 | $39.38 | $129.88 | |
Moda Health
| Facility | $19.87 | $68.53 | $129.13 | |
Moda Health
| Professional | $35.09 | $81.20 | $157.19 | |
Molina
| Professional | $32.34 | $32.34 | $141.51 | |
Regence BlueShield
| Professional | $27.33 | $35.51 | $113.65 | |
United
| Professional | $64.38 | $89.87 | $130.97 |