| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $177.83 | $208.93 | |
Aetna
| Professional | $100.00 | $128.82 | $213.80 | |
BCBS
| Professional | $158.49 | $229.09 | $257.04 | |
Cigna
| Professional | $114.82 | $190.55 | $245.47 | |
Moda Health
| Facility | $120.23 | $147.91 | $239.88 | |
Moda Health
| Professional | $107.15 | $144.54 | $245.47 | |
Molina
| Professional | $30.20 | $32.36 | $33.11 | |
Regence BlueShield
| Professional | $138.04 | $181.97 | $251.19 | |
Select Health
| Professional | $112.20 | $128.82 | $208.93 | |
United
| Professional | $102.33 | $165.96 | $234.42 |