| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.75 | $131.54 | $139.25 | |
Cigna
| Facility | $117.36 | $117.36 | $117.38 | |
Cigna
| Professional | $85.67 | $117.36 | $120.88 | |
Moda Health
| Facility | $48.61 | $119.39 | $159.03 | |
Moda Health
| Professional | $143.13 | $151.08 | $159.03 | |
Molina
| Professional | $30.00 | $117.36 | $139.77 | |
Regence BlueShield
| Facility | $139.25 | $155.30 | $232.95 | |
Regence BlueShield
| Professional | $111.32 | $111.32 | $166.98 | |
United
| Professional | $68.37 | $75.31 | $119.43 |