| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.33 | $128.85 | $135.66 | |
Cigna
| Facility | $70.00 | $70.00 | $70.00 | |
Cigna
| Professional | $91.47 | $128.18 | $185.57 | |
Moda Health
| Facility | $80.56 | $107.42 | $164.58 | |
Moda Health
| Professional | $105.06 | $154.77 | $187.60 | |
Molina
| Professional | $32.34 | $32.34 | $156.66 | |
Regence BlueShield
| Facility | $142.13 | $143.81 | $216.19 | |
Regence BlueShield
| Professional | $121.79 | $143.28 | $173.59 | |
United
| Facility | $105.14 | $105.14 | $105.14 | |
United
| Professional | $99.62 | $134.55 | $179.40 |