| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $186.21 | $263.03 | |
BCBS
| Professional | $295.12 | $389.05 | $407.38 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Moda Health
| Professional | $177.83 | $354.81 | $436.52 | |
Molina
| Professional | $30.20 | $30.20 | $77.62 | |
Regence BlueShield
| Professional | $263.03 | $309.03 | $354.81 | |
Select Health
| Professional | $190.55 | $208.93 | $371.54 | |
United
| Professional | $223.87 | $288.40 | $398.11 |