| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $503.40 | $908.54 | $1,308.83 | |
Aetna
| Professional | $352.38 | $352.38 | $578.91 | |
Cigna
| Facility | $490.82 | $533.35 | $1,963.26 | |
Cigna
| Professional | $478.05 | $525.00 | $656.25 | |
Moda Health
| Facility | $473.20 | $981.63 | $1,040.53 | |
Moda Health
| Professional | $503.40 | $503.40 | $604.08 | |
Regence BlueShield
| Facility | $755.10 | $1,006.80 | $1,812.24 | |
Regence BlueShield
| Professional | $427.89 | $752.22 | $777.77 | |
United
| Professional | $211.43 | $211.43 | $604.08 |