| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.59 | $216.34 | $301.83 | |
Aetna
| Professional | $96.20 | $128.69 | $181.80 | |
Cigna
| Professional | $90.00 | $134.00 | $214.67 | |
Moda Health
| Facility | $107.86 | $149.24 | $211.57 | |
Moda Health
| Professional | $169.72 | $205.72 | $250.36 | |
Molina
| Professional | $32.34 | $119.84 | $233.69 | |
Regence BlueShield
| Professional | $130.90 | $162.81 | $208.61 | |
United
| Professional | $124.88 | $143.63 | $215.18 |