| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.39 | $54.44 | $100.07 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
Moda Health
| Facility | $42.06 | $73.73 | $110.08 | |
Moda Health
| Professional | $70.04 | $70.04 | $73.73 | |
Molina
| Professional | $30.00 | $64.80 | $129.03 | |
Regence BlueShield
| Professional | $51.61 | $51.61 | $77.42 | |
United
| Professional | $29.75 | $31.27 | $57.69 |