| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $445.63 | $445.63 | $641.99 | |
Aetna
| Professional | $172.84 | $481.49 | $481.49 | |
Cigna
| Facility | $240.75 | $261.62 | $963.00 | |
Cigna
| Professional | $234.49 | $283.73 | $354.66 | |
Moda Health
| Facility | $232.10 | $481.49 | $510.38 | |
Moda Health
| Professional | $246.92 | $246.92 | $296.30 | |
Regence BlueShield
| Facility | $370.38 | $493.84 | $888.91 | |
Regence BlueShield
| Professional | $209.88 | $369.15 | $381.56 | |
United
| Professional | $103.71 | $103.71 | $296.30 |