| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.06 | $224.14 | $263.69 | |
Cigna
| Professional | $203.94 | $203.94 | $229.43 | |
Moda Health
| Facility | $117.07 | $187.45 | $263.26 | |
Moda Health
| Professional | $225.77 | $239.45 | $259.98 | |
Molina
| Professional | $130.47 | $130.47 | $130.47 | |
Regence BlueShield
| Professional | $210.44 | $251.41 | $251.41 | |
United
| Professional | $176.12 | $217.00 | $283.25 |