| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.95 | $116.40 | $166.55 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Moda Health
| Professional | $196.42 | $208.32 | $238.08 | |
Molina
| Professional | $30.00 | $55.00 | $219.77 | |
Regence BlueShield
| Professional | $155.62 | $183.08 | $191.56 | |
United
| Professional | $134.75 | $162.91 | $227.86 |