| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.58 | $68.58 | $95.60 | |
Aetna
| Professional | $59.78 | $81.29 | $95.66 | |
Cigna
| Professional | $94.93 | $94.93 | $94.93 | |
Moda Health
| Facility | $61.72 | $95.60 | $120.02 | |
Moda Health
| Professional | $121.16 | $146.86 | $206.38 | |
Molina
| Professional | $30.00 | $55.00 | $186.42 | |
Regence BlueShield
| Professional | $103.42 | $117.93 | $157.71 | |
United
| Professional | $81.31 | $106.33 | $139.57 |