| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.35 | $155.10 | $237.02 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Moda Health
| Professional | $195.34 | $207.18 | $236.78 | |
Molina
| Professional | $30.00 | $30.00 | $209.33 | |
Regence BlueShield
| Professional | $187.56 | $187.60 | $201.51 | |
United
| Professional | $151.24 | $190.19 | $299.94 |