| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.51 | $448.51 | $646.13 | |
Aetna
| Professional | $646.13 | $646.13 | $646.13 | |
Cigna
| Facility | $193.84 | $516.90 | $969.18 | |
Moda Health
| Facility | $299.01 | $484.59 | $533.04 | |
Moda Health
| Professional | $248.51 | $248.51 | $298.20 | |
Molina
| Professional | $30.00 | $30.00 | $484.59 | |
Regence BlueShield
| Facility | $372.77 | $497.02 | $894.64 | |
Regence BlueShield
| Professional | $371.63 | $371.63 | $383.65 | |
United
| Professional | $104.37 | $104.37 | $285.79 |