| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.69 | $110.69 | $110.69 | |
Aetna
| Professional | $74.09 | $94.34 | $125.03 | |
Cigna
| Professional | $100.59 | $216.05 | $218.30 | |
Moda Health
| Facility | $121.50 | $133.84 | $191.39 | |
Moda Health
| Professional | $126.00 | $135.85 | $155.26 | |
Regence BlueShield
| Professional | $100.05 | $118.90 | $139.81 | |
United
| Professional | $80.00 | $118.80 | $163.36 |