| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.51 | $102.51 | $4,000.00 | |
Aetna
| Professional | $42.89 | $54.74 | $69.78 | |
Cigna
| Professional | $38.63 | $60.93 | $89.13 | |
Moda Health
| Facility | $36.36 | $53.27 | $86.28 | |
Moda Health
| Professional | $56.03 | $65.18 | $88.66 | |
Molina
| Professional | $32.34 | $32.34 | $81.55 | |
Regence BlueShield
| Professional | $50.11 | $65.12 | $82.20 | |
United
| Professional | $51.84 | $67.20 | $91.35 |