| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.15 | $110.32 | $164.39 | |
Cigna
| Professional | $135.78 | $164.75 | $196.79 | |
Moda Health
| Facility | $101.52 | $138.94 | $163.24 | |
Moda Health
| Professional | $168.65 | $181.70 | $207.66 | |
Molina
| Professional | $32.34 | $151.78 | $190.94 | |
Regence BlueShield
| Professional | $132.36 | $155.72 | $180.39 | |
United
| Professional | $105.84 | $147.00 | $205.79 |