| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.79 | $71.13 | $104.87 | |
Cigna
| Facility | $26.12 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $43.74 | $100.70 | |
Moda Health
| Facility | $30.89 | $74.23 | $105.40 | |
Moda Health
| Professional | $94.86 | $100.13 | $105.40 | |
Molina
| Professional | $30.00 | $77.78 | $92.64 | |
Regence BlueShield
| Facility | $92.29 | $102.93 | $154.40 | |
Regence BlueShield
| Professional | $73.78 | $73.78 | $110.67 | |
United
| Professional | $36.86 | $47.41 | $75.88 |