| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $305.61 | $413.81 | $717.73 | |
Cigna
| Professional | $310.38 | $310.38 | $310.38 | |
Moda Health
| Professional | $556.66 | $590.40 | $674.74 | |
Molina
| Professional | $30.00 | $30.00 | $595.94 | |
Regence BlueShield
| Professional | $531.33 | $534.29 | $563.70 | |
United
| Professional | $389.50 | $594.80 | $862.16 |