| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.24 | $108.01 | $360.00 | |
Cigna
| Professional | $90.02 | $134.02 | $186.93 | |
Moda Health
| Facility | $73.59 | $115.98 | $167.89 | |
Moda Health
| Professional | $115.81 | $140.38 | $202.48 | |
Molina
| Professional | $30.00 | $55.00 | $166.67 | |
Regence BlueShield
| Facility | $130.24 | $156.29 | $156.29 | |
Regence BlueShield
| Professional | $106.54 | $132.36 | $180.30 | |
United
| Professional | $108.72 | $147.49 | $189.63 |