| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.50 | $212.50 | $226.95 | |
Aetna
| Professional | $50.15 | $56.93 | $77.55 | |
Cigna
| Professional | $70.97 | $86.02 | $101.84 | |
Moda Health
| Facility | $50.59 | $71.44 | $85.89 | |
Moda Health
| Professional | $79.53 | $86.76 | $97.68 | |
Molina
| Professional | $32.34 | $71.42 | $89.86 | |
Regence BlueShield
| Facility | $183.30 | $271.68 | $332.87 | |
Regence BlueShield
| Professional | $64.70 | $77.61 | $92.24 | |
United
| Professional | $55.58 | $81.93 | $104.72 |