| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.91 | $295.91 | $426.30 | |
Aetna
| Professional | $114.77 | $319.72 | $319.72 | |
Cigna
| Facility | $127.88 | $341.02 | $639.41 | |
Moda Health
| Facility | $197.27 | $319.72 | $351.69 | |
Moda Health
| Professional | $163.96 | $167.24 | $196.75 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $245.94 | $327.92 | $590.26 | |
Regence BlueShield
| Professional | $245.27 | $245.27 | $321.75 | |
United
| Professional | $68.86 | $85.02 | $232.78 |