| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.97 | $82.67 | $157.13 | |
Cigna
| Professional | $31.58 | $59.36 | $161.59 | |
Moda Health
| Facility | $29.86 | $86.53 | $164.99 | |
Moda Health
| Professional | $52.64 | $165.44 | $194.08 | |
Molina
| Professional | $32.34 | $32.34 | $175.48 | |
Regence BlueShield
| Professional | $41.22 | $53.43 | $140.44 | |
United
| Professional | $80.73 | $115.99 | $160.08 |