| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.81 | $315.49 | $454.51 | |
Aetna
| Professional | $122.37 | $340.88 | $340.88 | |
Cigna
| Facility | $681.78 | $681.78 | $681.78 | |
Moda Health
| Facility | $210.33 | $340.88 | $374.97 | |
Moda Health
| Professional | $174.81 | $178.31 | $209.77 | |
Molina
| Professional | $30.00 | $30.00 | $340.88 | |
Regence BlueShield
| Facility | $262.22 | $349.62 | $629.32 | |
Regence BlueShield
| Professional | $261.19 | $261.19 | $270.07 | |
United
| Professional | $73.42 | $73.42 | $201.03 |