| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.04 | $171.84 | $342.00 | |
Cigna
| Professional | $120.78 | $186.86 | $251.25 | |
Moda Health
| Facility | $113.80 | $165.41 | $211.82 | |
Moda Health
| Professional | $190.00 | $207.27 | $230.30 | |
Molina
| Professional | $32.34 | $32.34 | $213.90 | |
Regence BlueShield
| Professional | $151.81 | $178.60 | $222.34 | |
United
| Professional | $133.38 | $168.97 | $222.05 |