| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.42 | $68.42 | $68.42 | |
Aetna
| Professional | $60.98 | $69.87 | $99.47 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Moda Health
| Facility | $60.98 | $72.31 | $98.69 | |
Moda Health
| Professional | $117.96 | $125.11 | $142.97 | |
Molina
| Professional | $30.00 | $55.00 | $133.41 | |
Regence BlueShield
| Professional | $93.03 | $109.45 | $113.58 | |
United
| Professional | $82.51 | $104.81 | $140.47 |