| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.53 | $177.50 | $177.50 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $211.82 | $218.17 | |
Moda Health
| Facility | $69.56 | $113.25 | $186.38 | |
Moda Health
| Professional | $85.99 | $128.15 | $142.38 | |
Molina
| Professional | $30.00 | $204.47 | $242.96 | |
Regence BlueShield
| Facility | $138.24 | $138.24 | $267.89 | |
Regence BlueShield
| Professional | $99.67 | $103.94 | $149.51 | |
United
| Professional | $144.97 | $154.02 | $244.27 |