| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.37 | $165.46 | $326.00 | |
Cigna
| Professional | $116.23 | $179.58 | $240.59 | |
Moda Health
| Facility | $109.60 | $158.62 | $203.33 | |
Moda Health
| Professional | $183.07 | $199.71 | $221.90 | |
Molina
| Professional | $32.34 | $32.34 | $184.75 | |
Regence BlueShield
| Professional | $145.88 | $171.64 | $213.57 | |
United
| Professional | $126.91 | $165.62 | $209.23 |