| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.40 | $109.25 | $128.53 | |
Aetna
| Professional | $57.61 | $79.23 | $109.06 | |
Cigna
| Professional | $55.00 | $84.00 | $142.13 | |
Moda Health
| Facility | $67.77 | $98.49 | $132.38 | |
Moda Health
| Professional | $105.14 | $124.00 | $145.56 | |
Molina
| Professional | $32.34 | $70.59 | $137.65 | |
Regence BlueShield
| Professional | $81.29 | $98.01 | $131.97 | |
United
| Professional | $72.65 | $90.82 | $131.44 |