| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.28 | $57.87 | $69.70 | |
Cigna
| Professional | $63.42 | $79.27 | $105.69 | |
Moda Health
| Facility | $44.20 | $69.70 | $92.09 | |
Moda Health
| Professional | $80.40 | $90.00 | $102.86 | |
Molina
| Professional | $30.00 | $55.00 | $78.00 | |
Regence BlueShield
| Professional | $67.66 | $79.59 | $94.72 | |
United
| Professional | $58.32 | $72.90 | $102.06 |