| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.04 | $119.04 | $140.05 | |
Aetna
| Professional | $66.28 | $88.17 | $119.04 | |
Cigna
| Professional | $61.00 | $92.00 | $157.13 | |
Moda Health
| Facility | $79.05 | $108.91 | $144.25 | |
Moda Health
| Professional | $119.56 | $140.43 | $165.62 | |
Molina
| Professional | $32.34 | $80.44 | $156.86 | |
Regence BlueShield
| Professional | $92.85 | $111.94 | $150.63 | |
United
| Professional | $75.00 | $98.80 | $140.55 |