| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.89 | $78.90 | $136.49 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Moda Health
| Professional | $131.28 | $169.26 | $193.44 | |
Molina
| Professional | $30.00 | $32.34 | $170.12 | |
Regence BlueShield
| Professional | $114.90 | $149.25 | $152.78 | |
United
| Professional | $68.88 | $135.41 | $282.32 |