| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.31 | $161.16 | $380.69 | |
Cigna
| Professional | $144.63 | $220.28 | $291.47 | |
Moda Health
| Facility | $123.24 | $193.25 | $262.18 | |
Moda Health
| Professional | $194.27 | $235.48 | $315.70 | |
Molina
| Professional | $30.00 | $55.00 | $289.48 | |
Regence BlueShield
| Facility | $201.39 | $241.67 | $241.67 | |
Regence BlueShield
| Professional | $179.03 | $214.60 | $279.93 | |
United
| Professional | $170.64 | $231.28 | $298.62 |