| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.46 | $167.94 | $227.59 | |
Aetna
| Professional | $116.20 | $165.96 | $333.21 | |
Cigna
| Professional | $131.21 | $227.15 | $319.47 | |
Moda Health
| Facility | $144.47 | $197.91 | $232.85 | |
Moda Health
| Professional | $194.40 | $219.63 | $251.00 | |
Molina
| Professional | $32.34 | $32.34 | $207.39 | |
Regence BlueShield
| Professional | $164.08 | $193.03 | $226.13 | |
United
| Professional | $140.76 | $175.95 | $248.49 |