| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.38 | $71.38 | $71.38 | |
Aetna
| Professional | $64.97 | $79.33 | $101.14 | |
Cigna
| Professional | $69.04 | $69.04 | $69.04 | |
Moda Health
| Facility | $71.38 | $101.14 | $129.46 | |
Moda Health
| Professional | $123.82 | $131.32 | $150.08 | |
Molina
| Professional | $30.00 | $55.00 | $139.19 | |
Regence BlueShield
| Professional | $98.53 | $115.92 | $120.91 | |
United
| Professional | $83.61 | $110.74 | $145.35 |