| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.71 | $182.69 | $599.00 | |
Cigna
| Professional | $161.97 | $252.91 | $321.07 | |
Moda Health
| Facility | $146.96 | $231.92 | $306.06 | |
Moda Health
| Professional | $212.95 | $258.12 | $311.18 | |
Molina
| Professional | $30.00 | $55.00 | $286.57 | |
Regence BlueShield
| Facility | $200.14 | $240.17 | $240.17 | |
United
| Professional | $177.82 | $251.04 | $334.09 |