| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.69 | $127.12 | $127.12 | |
Cigna
| Facility | $100.43 | $100.43 | $115.70 | |
Cigna
| Professional | $73.31 | $100.43 | $107.06 | |
Moda Health
| Facility | $46.76 | $108.99 | $148.47 | |
Moda Health
| Professional | $130.65 | $137.91 | $145.16 | |
Molina
| Professional | $30.00 | $107.13 | $127.59 | |
Regence BlueShield
| Facility | $127.12 | $141.77 | $212.66 | |
Regence BlueShield
| Professional | $101.62 | $103.93 | $152.43 | |
United
| Professional | $66.97 | $72.43 | $112.50 |