| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.03 | $205.22 | $241.37 | |
Aetna
| Professional | $136.91 | $176.46 | $240.57 | |
Aetna
| Professional | 25 | $504.07 | $504.07 | $504.07 |
Cigna
| Professional | $180.68 | $389.49 | $395.80 | |
Moda Health
| Facility | $221.65 | $241.38 | $345.17 | |
Moda Health
| Professional | $226.20 | $306.81 | $350.64 | |
Regence BlueShield
| Professional | $185.31 | $269.64 | $317.58 | |
United
| Professional | $142.50 | $198.46 | $297.99 |