| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $71.12 | |
Cigna
| Professional | $180.06 | $180.06 | $180.06 | |
Moda Health
| Facility | $20.00 | $21.00 | $60.00 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Professional | $23.44 | $27.58 | $35.96 | |
United
| Professional | $230.00 | $230.00 | $230.00 |