| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.48 | $126.08 | $224.45 | |
Cigna
| Professional | $106.30 | $161.11 | $213.66 | |
Moda Health
| Facility | $98.01 | $151.62 | $205.34 | |
Moda Health
| Professional | $140.37 | $170.14 | $218.66 | |
Molina
| Professional | $30.00 | $55.00 | $200.64 | |
Regence BlueShield
| Facility | $140.22 | $168.27 | $168.27 | |
United
| Professional | $119.91 | $165.44 | $222.93 |