| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.04 | $119.41 | $360.00 | |
Cigna
| Professional | $102.06 | $151.88 | $211.82 | |
Moda Health
| Facility | $83.77 | $133.68 | $189.82 | |
Moda Health
| Professional | $131.84 | $159.80 | $230.96 | |
Molina
| Professional | $30.00 | $55.00 | $211.52 | |
Regence BlueShield
| Facility | $147.71 | $177.26 | $177.26 | |
Regence BlueShield
| Professional | $120.65 | $150.12 | $203.97 | |
United
| Professional | $120.05 | $164.16 | $218.89 |