| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $130.94 | $169.89 | |
Cigna
| Facility | $127.07 | $127.07 | $127.07 | |
Cigna
| Professional | $92.76 | $92.76 | $210.77 | |
Moda Health
| Facility | $132.06 | $167.60 | $194.02 | |
Moda Health
| Professional | $174.62 | $194.02 | $194.02 | |
Molina
| Professional | $30.00 | $143.18 | $170.52 | |
Regence BlueShield
| Facility | $169.89 | $189.47 | $284.20 | |
Regence BlueShield
| Professional | $135.81 | $140.51 | $203.72 | |
United
| Professional | $84.67 | $89.95 | $151.87 |