| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.58 | $66.01 | $82.12 | |
Cigna
| Professional | $65.11 | $99.61 | $133.44 | |
Moda Health
| Facility | $58.07 | $86.23 | $113.15 | |
Moda Health
| Professional | $100.34 | $109.46 | $121.62 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
Regence BlueShield
| Professional | $79.50 | $93.53 | $111.40 | |
United
| Professional | $70.67 | $93.59 | $122.01 |