| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.11 | $69.20 | $80.25 | |
Cigna
| Facility | $57.49 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $42.78 | $62.47 | |
Moda Health
| Facility | $27.03 | $64.56 | $91.65 | |
Moda Health
| Professional | $82.49 | $87.07 | $91.65 | |
Molina
| Professional | $30.00 | $67.64 | $80.55 | |
Regence BlueShield
| Facility | $80.25 | $89.50 | $134.25 | |
Regence BlueShield
| Professional | $64.16 | $66.58 | $96.23 | |
United
| Professional | $38.71 | $41.86 | $66.40 |