| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.04 | $123.01 | $387.80 | |
Cigna
| Professional | $98.33 | $150.19 | $204.67 | |
Moda Health
| Facility | $83.78 | $130.74 | $183.95 | |
Moda Health
| Professional | $131.84 | $159.80 | $221.26 | |
Molina
| Professional | $30.00 | $55.00 | $182.11 | |
Regence BlueShield
| Facility | $141.88 | $170.27 | $170.27 | |
Regence BlueShield
| Professional | $120.65 | $145.90 | $196.71 | |
United
| Professional | $121.73 | $155.11 | $202.45 |