| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.31 | $120.30 | $137.87 | |
Aetna
| Professional | $69.91 | $90.64 | $121.98 | |
Cigna
| Professional | $65.00 | $100.33 | $163.96 | |
Moda Health
| Facility | $83.79 | $118.01 | $153.32 | |
Moda Health
| Professional | $125.96 | $147.90 | $177.26 | |
Molina
| Professional | $32.34 | $85.00 | $165.75 | |
Regence BlueShield
| Professional | $99.25 | $117.91 | $157.96 | |
United
| Professional | $82.94 | $104.88 | $150.90 |