| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.64 | $76.54 | $93.83 | |
Aetna
| Professional | $32.29 | $46.12 | $78.84 | |
Cigna
| Professional | $40.26 | $53.32 | $72.70 | |
Moda Health
| Facility | $37.79 | $56.24 | $83.58 | |
Moda Health
| Professional | $78.98 | $99.81 | $120.98 | |
Molina
| Professional | $57.03 | $99.80 | $118.56 | |
Regence BlueShield
| Facility | $139.13 | $200.43 | $270.08 | |
Regence BlueShield
| Professional | $68.23 | $84.73 | $108.01 | |
United
| Professional | $44.41 | $58.49 | $74.73 |