| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.79 | $115.20 | $115.20 | |
Cigna
| Professional | $43.91 | $43.91 | $108.47 | |
Moda Health
| Facility | $30.94 | $77.84 | $115.20 | |
Moda Health
| Professional | $93.23 | $98.41 | $103.59 | |
Molina
| Professional | $30.00 | $76.44 | $91.04 | |
Regence BlueShield
| Facility | $90.71 | $101.16 | $151.74 | |
Regence BlueShield
| Professional | $72.51 | $72.51 | $108.77 | |
United
| Professional | $42.20 | $45.64 | $72.38 |