| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.27 | $194.08 | $258.77 | |
Cigna
| Professional | $200.66 | $200.66 | $225.74 | |
Moda Health
| Facility | $113.97 | $186.32 | $257.06 | |
Moda Health
| Professional | $293.55 | $299.60 | $338.03 | |
Molina
| Professional | $168.93 | $168.93 | $168.93 | |
Regence BlueShield
| Professional | $274.62 | $324.11 | $324.11 | |
United
| Professional | $186.11 | $242.87 | $316.89 |