| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.44 | $100.24 | $100.24 | |
Cigna
| Facility | $128.79 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $128.79 | $137.30 | |
Moda Health
| Facility | $39.29 | $63.96 | $105.25 | |
Moda Health
| Professional | $48.56 | $72.37 | $80.41 | |
Molina
| Professional | $30.00 | $115.48 | $137.21 | |
Regence BlueShield
| Facility | $78.06 | $78.06 | $151.31 | |
Regence BlueShield
| Professional | $56.29 | $58.70 | $84.43 | |
United
| Professional | $81.88 | $86.21 | $137.94 |