| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.67 | $114.09 | $164.96 | |
Aetna
| Professional | $67.17 | $90.78 | $126.69 | |
Cigna
| Facility | $70.00 | $70.00 | $75.00 | |
Cigna
| Professional | $71.93 | $92.41 | $111.31 | |
Moda Health
| Facility | $83.30 | $97.26 | $137.11 | |
Moda Health
| Professional | $112.67 | $165.99 | $201.20 | |
Molina
| Professional | $32.34 | $32.34 | $166.86 | |
Regence BlueShield
| Facility | $126.49 | $151.79 | $223.65 | |
Regence BlueShield
| Professional | $92.51 | $108.83 | $144.81 | |
United
| Professional | $75.22 | $91.07 | $96.45 |