| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.76 | $130.65 | $131.06 | |
Cigna
| Facility | $83.71 | $83.71 | $83.71 | |
Cigna
| Professional | $61.11 | $83.71 | $89.24 | |
Moda Health
| Facility | $75.00 | $130.65 | $149.66 | |
Moda Health
| Professional | $134.69 | $142.19 | $149.66 | |
Molina
| Professional | $107.86 | $110.45 | $134.69 | |
Regence BlueShield
| Facility | $131.06 | $146.16 | $219.24 | |
Regence BlueShield
| Professional | $104.77 | $104.77 | $157.15 | |
United
| Facility | $0.11 | $76.31 | $77.56 | |
United
| Professional | $62.05 | $65.92 | $104.55 |