| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.30 | $128.74 | $174.17 | |
Cigna
| Professional | $117.46 | $179.58 | $240.59 | |
Moda Health
| Facility | $109.60 | $158.62 | $203.52 | |
Moda Health
| Professional | $183.07 | $199.71 | $221.90 | |
Molina
| Professional | $32.34 | $32.34 | $205.86 | |
Regence BlueShield
| Professional | $145.88 | $171.64 | $204.15 | |
United
| Professional | $125.02 | $164.51 | $219.69 |