| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.70 | $116.46 | $151.63 | |
Cigna
| Professional | $143.74 | $180.85 | $215.55 | |
Moda Health
| Facility | $106.88 | $156.77 | $194.21 | |
Moda Health
| Professional | $169.19 | $179.45 | $205.08 | |
Molina
| Professional | $32.34 | $150.60 | $189.46 | |
Regence BlueShield
| Professional | $134.90 | $158.69 | $191.81 | |
United
| Professional | $117.72 | $162.00 | $220.32 |