| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.99 | $246.99 | $246.99 | |
Aetna
| Professional | $159.74 | $219.36 | $476.57 | |
Cigna
| Professional | $182.75 | $319.11 | $470.56 | |
Moda Health
| Facility | $212.92 | $292.48 | $343.27 | |
Moda Health
| Professional | $275.93 | $301.01 | $371.42 | |
Molina
| Professional | $32.34 | $32.34 | $308.51 | |
Regence BlueShield
| Professional | $217.35 | $255.71 | $302.49 | |
United
| Professional | $188.21 | $274.08 | $364.74 |