| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.88 | $178.94 | $210.52 | |
Aetna
| Professional | $102.17 | $135.63 | $181.35 | |
Cigna
| Professional | $124.10 | $207.85 | $248.20 | |
Moda Health
| Facility | $120.20 | $165.16 | $221.05 | |
Moda Health
| Professional | $193.20 | $222.46 | $254.24 | |
Molina
| Professional | $32.34 | $120.73 | $235.42 | |
Regence BlueShield
| Professional | $138.80 | $183.58 | $225.61 | |
United
| Professional | $99.58 | $168.52 | $248.49 |