| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.60 | $84.70 | $98.51 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Moda Health
| Professional | $108.88 | $131.97 | $194.08 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 | |
Regence BlueShield
| Professional | $93.80 | $123.44 | $148.75 | |
United
| Professional | $104.88 | $131.12 | $174.00 |