| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.31 | $154.31 | $190.73 | |
Aetna
| Professional | $133.65 | $167.30 | $214.19 | |
Cigna
| Professional | $188.67 | $188.67 | $188.67 | |
Moda Health
| Facility | $138.88 | $190.89 | $270.04 | |
Moda Health
| Professional | $272.20 | $329.94 | $410.16 | |
Molina
| Professional | $30.00 | $55.00 | $371.92 | |
Regence BlueShield
| Professional | $232.39 | $252.23 | $312.93 | |
United
| Professional | $181.64 | $219.88 | $301.14 |