| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.29 | $110.04 | $460.52 | |
Cigna
| Professional | $177.13 | $345.00 | $597.22 | |
Moda Health
| Professional | $306.49 | $428.57 | $519.48 | |
Molina
| Professional | $30.00 | $176.98 | $236.76 | |
Regence BlueShield
| Professional | $263.20 | $385.56 | $420.97 | |
United
| Professional | $79.56 | $106.08 | $145.06 |