| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.63 | $167.73 | $325.80 | |
Aetna
| Professional | $69.34 | $97.96 | $140.94 | |
Cigna
| Professional | $69.00 | $102.00 | $167.69 | |
Moda Health
| Facility | $79.05 | $111.46 | $161.38 | |
Moda Health
| Professional | $120.09 | $154.24 | $186.96 | |
Molina
| Professional | $32.34 | $90.14 | $175.77 | |
Regence BlueShield
| Professional | $95.57 | $123.23 | $156.46 | |
United
| Professional | $94.28 | $124.52 | $193.11 |