| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.25 | $172.22 | $251.35 | |
Cigna
| Professional | $255.54 | $290.38 | $350.17 | |
Moda Health
| Facility | $162.07 | $244.20 | $321.73 | |
Moda Health
| Professional | $272.25 | $272.25 | $272.25 | |
Molina
| Professional | $30.00 | $188.48 | $408.37 | |
Regence BlueShield
| Facility | $395.86 | $594.53 | $951.01 | |
Regence BlueShield
| Professional | $215.75 | $251.23 | $258.70 | |
United
| Professional | $111.90 | $255.79 | $457.73 |