| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.22 | $137.55 | $340.00 | |
Cigna
| Professional | $109.34 | $167.31 | $223.00 | |
Moda Health
| Facility | $93.96 | $145.65 | $200.42 | |
Moda Health
| Professional | $148.37 | $179.84 | $241.96 | |
Molina
| Professional | $30.00 | $30.00 | $198.84 | |
Regence BlueShield
| Facility | $154.38 | $185.25 | $185.25 | |
Regence BlueShield
| Professional | $136.22 | $163.15 | $213.96 | |
United
| Professional | $129.22 | $172.80 | $229.96 |