| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.29 | $32.29 | $234.34 | |
Aetna
| Professional | $80.00 | $180.61 | $267.14 | |
Cigna
| Facility | $135.00 | $135.00 | $167.85 | |
Cigna
| Professional | $98.55 | $135.00 | $143.91 | |
Moda Health
| Facility | $78.89 | $188.51 | $267.62 | |
Moda Health
| Professional | $240.86 | $254.24 | $267.62 | |
Molina
| Professional | $30.00 | $197.50 | $235.22 | |
Regence BlueShield
| Facility | $234.34 | $261.35 | $392.03 | |
Regence BlueShield
| Professional | $187.33 | $194.01 | $281.00 | |
United
| Professional | $112.98 | $122.20 | $188.30 |