| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.11 | $124.14 | $124.14 | |
Cigna
| Facility | $133.72 | $133.72 | $163.75 | |
Cigna
| Professional | $97.62 | $133.72 | $142.55 | |
Moda Health
| Facility | $62.23 | $92.75 | $182.14 | |
Moda Health
| Professional | $56.01 | $83.48 | $92.75 | |
Molina
| Professional | $30.00 | $147.55 | $175.37 | |
Regence BlueShield
| Facility | $90.05 | $90.05 | $205.42 | |
Regence BlueShield
| Professional | $64.93 | $67.70 | $97.39 | |
United
| Professional | $90.31 | $97.68 | $172.77 |