| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.43 | $182.42 | $557.00 | |
Cigna
| Professional | $164.99 | $265.56 | $382.91 | |
Moda Health
| Facility | $177.92 | $235.37 | $286.76 | |
Moda Health
| Professional | $219.35 | $243.43 | $265.88 | |
Molina
| Professional | $30.00 | $55.00 | $246.66 | |
Regence BlueShield
| Facility | $205.22 | $209.43 | $321.13 | |
United
| Professional | $169.20 | $226.08 | $302.94 |