| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.13 | $103.28 | $121.51 | |
Cigna
| Professional | $94.43 | $94.43 | $106.23 | |
Moda Health
| Facility | $55.62 | $85.61 | $121.51 | |
Moda Health
| Professional | $122.22 | $129.62 | $140.72 | |
Molina
| Professional | $70.56 | $70.56 | $70.56 | |
Regence BlueShield
| Professional | $113.43 | $133.40 | $133.40 | |
United
| Professional | $82.00 | $95.00 | $130.35 |