| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.94 | $155.47 | $237.02 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Moda Health
| Professional | $196.42 | $208.32 | $238.08 | |
Molina
| Professional | $30.00 | $30.00 | $210.48 | |
Regence BlueShield
| Professional | $188.55 | $188.63 | $202.03 | |
United
| Professional | $114.91 | $172.37 | $270.64 |