| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.93 | $111.41 | $323.01 | |
Cigna
| Professional | $96.22 | $145.25 | $203.42 | |
Moda Health
| Facility | $80.31 | $131.69 | $183.05 | |
Moda Health
| Professional | $124.36 | $151.19 | $222.54 | |
Molina
| Professional | $30.00 | $55.00 | $203.48 | |
Regence BlueShield
| Facility | $142.30 | $170.76 | $170.76 | |
Regence BlueShield
| Professional | $113.84 | $144.63 | $196.04 | |
United
| Professional | $118.37 | $157.43 | $209.51 |