| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.17 | $93.80 | $127.94 | |
Cigna
| Professional | $104.07 | $135.77 | $183.99 | |
Moda Health
| Facility | $77.72 | $114.66 | $155.11 | |
Moda Health
| Professional | $135.04 | $163.68 | $198.60 | |
Molina
| Professional | $30.00 | $55.00 | $78.00 | |
Regence BlueShield
| Professional | $116.14 | $145.46 | $175.70 | |
United
| Professional | $108.72 | $139.00 | $185.20 |