| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.90 | $88.90 | $88.90 | |
Aetna
| Professional | $61.97 | $84.76 | $179.43 | |
Cigna
| Professional | $69.23 | $121.31 | $167.33 | |
Moda Health
| Facility | $76.27 | $105.57 | $122.23 | |
Moda Health
| Professional | $105.60 | $134.21 | $152.68 | |
Molina
| Professional | $32.34 | $32.34 | $126.30 | |
Regence BlueShield
| Professional | $98.96 | $116.42 | $137.90 | |
United
| Professional | $73.80 | $92.70 | $130.31 |