| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.14 | $150.63 | $360.89 | |
Cigna
| Professional | $135.78 | $135.78 | $135.78 | |
Moda Health
| Facility | $150.63 | $228.17 | $378.93 | |
Moda Health
| Professional | $252.61 | $252.61 | $265.89 | |
Molina
| Professional | $412.15 | $465.33 | $518.51 | |
Regence BlueShield
| Professional | $186.13 | $186.13 | $279.20 | |
United
| Professional | $104.25 | $112.76 | $190.30 |