| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $149.28 | $172.96 | $255.30 | |
Cigna
| Professional | $210.37 | $254.41 | $303.64 | |
Moda Health
| Facility | $156.03 | $214.54 | $253.29 | |
Moda Health
| Professional | $253.52 | $275.10 | $312.45 | |
Molina
| Professional | $32.34 | $228.35 | $287.27 | |
Regence BlueShield
| Professional | $200.45 | $238.97 | $278.51 | |
United
| Professional | $172.90 | $227.49 | $309.39 |