| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.65 | $102.21 | $154.00 | |
Cigna
| Professional | $74.01 | $115.13 | $155.83 | |
Moda Health
| Facility | $68.14 | $114.26 | $150.71 | |
Moda Health
| Professional | $88.06 | $119.56 | $144.91 | |
Molina
| Professional | $30.00 | $55.00 | $132.87 | |
Regence BlueShield
| Facility | $93.63 | $112.35 | $112.35 | |
United
| Professional | $90.30 | $126.00 | $158.91 |