| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.41 | $135.61 | $200.89 | |
Aetna
| Professional | $61.56 | $103.45 | $164.53 | |
Cigna
| Professional | $67.86 | $100.76 | $158.82 | |
Moda Health
| Facility | $68.63 | $116.09 | $169.47 | |
Moda Health
| Professional | $143.57 | $217.22 | $263.30 | |
Molina
| Professional | $123.05 | $215.34 | $258.03 | |
Regence BlueShield
| Facility | $259.24 | $370.87 | $485.91 | |
Regence BlueShield
| Professional | $122.74 | $158.35 | $228.15 | |
United
| Professional | $78.73 | $110.86 | $151.83 |