| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.96 | $146.96 | $146.96 | |
Aetna
| Professional | $143.94 | $158.57 | $233.43 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Moda Health
| Facility | $143.94 | $163.33 | $228.47 | |
Moda Health
| Professional | $252.98 | $268.31 | $306.64 | |
Molina
| Professional | $30.00 | $55.00 | $257.18 | |
Regence BlueShield
| Professional | $200.45 | $235.82 | $252.49 | |
United
| Professional | $183.96 | $254.81 | $321.93 |