| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.56 | $234.69 | $234.69 | |
Cigna
| Facility | $166.23 | $166.23 | $193.49 | |
Cigna
| Professional | $121.35 | $166.23 | $177.21 | |
Moda Health
| Facility | $74.52 | $201.20 | $268.02 | |
Moda Health
| Professional | $241.22 | $254.62 | $268.02 | |
Molina
| Professional | $30.00 | $200.23 | $241.22 | |
Regence BlueShield
| Facility | $234.69 | $261.74 | $392.61 | |
Regence BlueShield
| Professional | $187.61 | $187.61 | $281.42 | |
United
| Professional | $106.72 | $115.43 | $179.07 |