| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.05 | $166.77 | $166.77 | |
Cigna
| Facility | $112.22 | $112.22 | $119.46 | |
Cigna
| Professional | $81.92 | $81.92 | $207.52 | |
Moda Health
| Facility | $56.16 | $134.16 | $190.45 | |
Moda Health
| Professional | $171.41 | $180.93 | $190.45 | |
Molina
| Professional | $30.00 | $140.55 | $167.39 | |
Regence BlueShield
| Facility | $166.77 | $185.99 | $278.99 | |
Regence BlueShield
| Professional | $133.32 | $138.35 | $199.97 | |
United
| Professional | $80.42 | $86.98 | $137.94 |