| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.11 | $158.86 | $180.55 | |
Cigna
| Facility | $125.61 | $125.61 | $125.61 | |
Cigna
| Professional | $91.70 | $91.70 | $223.53 | |
Moda Health
| Facility | $64.75 | $174.37 | $212.89 | |
Moda Health
| Professional | $185.57 | $195.88 | $206.19 | |
Molina
| Professional | $30.00 | $152.16 | $181.22 | |
Regence BlueShield
| Facility | $180.55 | $201.36 | $302.04 | |
Regence BlueShield
| Professional | $144.33 | $149.02 | $216.50 | |
United
| Professional | $92.72 | $100.29 | $154.54 |