| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.71 | $112.22 | $206.29 | |
Cigna
| Professional | $62.01 | $62.01 | $62.01 | |
Moda Health
| Facility | $77.84 | $133.09 | $216.60 | |
Moda Health
| Professional | $144.38 | $144.38 | $151.99 | |
Molina
| Professional | $30.00 | $133.59 | $296.38 | |
Regence BlueShield
| Professional | $106.39 | $106.39 | $159.59 | |
United
| Professional | $64.45 | $68.95 | $118.96 |