| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.31 | $111.36 | $381.83 | |
Cigna
| Professional | $90.02 | $133.56 | $186.33 | |
Moda Health
| Facility | $73.66 | $115.98 | $167.30 | |
Moda Health
| Professional | $115.81 | $140.38 | $202.48 | |
Molina
| Professional | $30.00 | $55.00 | $185.72 | |
Regence BlueShield
| Facility | $129.83 | $155.79 | $155.79 | |
Regence BlueShield
| Professional | $106.54 | $131.94 | $179.74 | |
United
| Professional | $108.36 | $141.00 | $184.45 |