| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.77 | $109.38 | $109.38 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $38.08 | $53.74 | |
Moda Health
| Facility | $28.81 | $58.82 | $109.38 | |
Moda Health
| Professional | $52.94 | $83.27 | $87.65 | |
Molina
| Professional | $30.00 | $127.32 | $153.72 | |
Regence BlueShield
| Facility | $85.10 | $85.10 | $127.65 | |
Regence BlueShield
| Professional | $61.36 | $63.98 | $92.03 | |
United
| Professional | $94.18 | $95.03 | $156.97 |