| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.61 | $108.61 | $4,000.00 | |
Aetna
| Professional | $37.03 | $64.67 | $211.99 | |
Cigna
| Professional | $42.87 | $64.31 | $123.00 | |
Moda Health
| Facility | $34.01 | $52.41 | $115.83 | |
Moda Health
| Professional | $40.84 | $57.11 | $69.22 | |
Molina
| Professional | $32.34 | $32.34 | $64.45 | |
Regence BlueShield
| Professional | $45.67 | $53.73 | $76.38 | |
United
| Professional | $41.42 | $73.20 | $183.83 |