| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.88 | $123.88 | $123.88 | |
Aetna
| Professional | $85.15 | $136.54 | $310.39 | |
Cigna
| Professional | $81.08 | $159.40 | $235.08 | |
Moda Health
| Facility | $95.57 | $145.63 | $174.18 | |
Moda Health
| Professional | $131.29 | $143.16 | $159.13 | |
Molina
| Professional | $32.34 | $32.34 | $145.55 | |
Regence BlueShield
| Professional | $104.03 | $122.39 | $143.16 | |
United
| Professional | $90.08 | $141.12 | $183.97 |