| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.96 | $246.96 | $246.96 | |
Aetna
| Professional | $63.32 | $78.36 | $106.88 | |
Cigna
| Professional | $92.39 | $115.49 | $153.99 | |
Moda Health
| Facility | $63.95 | $96.79 | $120.42 | |
Moda Health
| Professional | $119.56 | $135.56 | $164.32 | |
Molina
| Professional | $77.62 | $135.84 | $161.03 | |
Regence BlueShield
| Professional | $102.59 | $121.14 | $147.35 | |
United
| Professional | $86.21 | $104.85 | $146.32 |