| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.34 | $841.34 | $1,212.04 | |
Aetna
| Professional | $326.32 | $438.20 | $438.20 | |
Cigna
| Facility | $363.61 | $969.63 | $1,818.06 | |
Moda Health
| Facility | $560.90 | $909.03 | $999.93 | |
Moda Health
| Professional | $466.17 | $475.49 | $559.40 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $699.26 | $932.34 | $1,678.21 | |
Regence BlueShield
| Professional | $696.50 | $696.50 | $720.20 | |
United
| Professional | $195.79 | $195.79 | $536.10 |