| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.09 | $160.09 | $160.09 | |
Aetna
| Professional | $106.39 | $135.55 | $190.16 | |
Cigna
| Professional | $141.28 | $306.95 | $342.88 | |
Moda Health
| Facility | $174.41 | $190.16 | $271.93 | |
Moda Health
| Professional | $175.80 | $224.74 | $256.83 | |
Regence BlueShield
| Professional | $144.43 | $197.51 | $231.62 | |
United
| Professional | $115.49 | $167.85 | $234.99 |