| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.24 | $113.20 | $386.35 | |
Cigna
| Professional | $90.02 | $136.75 | $194.09 | |
Moda Health
| Facility | $72.98 | $123.71 | $175.56 | |
Moda Health
| Professional | $115.81 | $140.38 | $212.20 | |
Molina
| Professional | $30.00 | $55.00 | $194.30 | |
Regence BlueShield
| Facility | $136.06 | $163.28 | $163.28 | |
Regence BlueShield
| Professional | $106.54 | $138.28 | $187.56 | |
United
| Professional | $114.12 | $147.11 | $193.37 |