| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.22 | $109.67 | $152.05 | |
Cigna
| Facility | $96.73 | $96.73 | $111.78 | |
Cigna
| Professional | $70.61 | $96.73 | $103.12 | |
Moda Health
| Facility | $47.05 | $122.01 | $162.52 | |
Moda Health
| Professional | $146.27 | $154.38 | $162.52 | |
Molina
| Professional | $30.00 | $119.94 | $142.84 | |
Regence BlueShield
| Facility | $142.31 | $158.71 | $238.07 | |
Regence BlueShield
| Professional | $113.76 | $113.76 | $170.65 | |
United
| Professional | $67.38 | $72.88 | $112.30 |