| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.25 | $158.49 | $189.88 | |
Cigna
| Professional | $144.97 | $144.97 | $163.10 | |
Moda Health
| Facility | $81.33 | $130.41 | $185.40 | |
Moda Health
| Professional | $202.27 | $203.00 | $232.92 | |
Molina
| Professional | $116.26 | $116.26 | $116.26 | |
Regence BlueShield
| Professional | $188.55 | $222.01 | $222.01 | |
United
| Professional | $133.94 | $147.00 | $199.66 |