| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.73 | $108.79 | $200.01 | |
Cigna
| Professional | $60.12 | $60.12 | $60.12 | |
Moda Health
| Facility | $84.07 | $147.37 | $220.01 | |
Moda Health
| Professional | $140.00 | $140.00 | $147.37 | |
Molina
| Professional | $30.00 | $129.53 | $287.37 | |
Regence BlueShield
| Professional | $103.16 | $103.16 | $154.74 | |
United
| Professional | $59.89 | $62.49 | $101.30 |