| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.63 | $175.33 | $521.09 | |
Cigna
| Professional | $133.91 | $204.92 | $269.14 | |
Moda Health
| Facility | $114.76 | $179.34 | $242.14 | |
Moda Health
| Professional | $180.92 | $219.30 | $290.48 | |
Molina
| Professional | $30.00 | $55.00 | $266.45 | |
Regence BlueShield
| Facility | $185.58 | $222.69 | $222.69 | |
Regence BlueShield
| Professional | $166.87 | $199.79 | $257.87 | |
United
| Professional | $152.94 | $203.98 | $275.30 |