| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.57 | $99.04 | $99.04 | |
Cigna
| Facility | $64.66 | $64.66 | $70.91 | |
Cigna
| Professional | $47.20 | $64.66 | $68.93 | |
Moda Health
| Facility | $33.32 | $79.66 | $113.11 | |
Moda Health
| Professional | $101.80 | $107.45 | $113.11 | |
Molina
| Professional | $30.00 | $83.47 | $99.41 | |
Regence BlueShield
| Facility | $99.04 | $110.46 | $165.69 | |
Regence BlueShield
| Professional | $79.18 | $81.95 | $118.77 | |
United
| Professional | $47.73 | $51.62 | $79.55 |