| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.96 | $360.96 | $520.00 | |
Aetna
| Professional | $128.00 | $390.00 | $390.00 | |
Cigna
| Facility | $156.00 | $416.00 | $780.00 | |
Moda Health
| Facility | $240.64 | $390.00 | $429.00 | |
Moda Health
| Professional | $200.00 | $200.00 | $240.00 | |
Molina
| Professional | $30.00 | $30.00 | $390.00 | |
Regence BlueShield
| Facility | $300.00 | $400.00 | $720.00 | |
Regence BlueShield
| Professional | $299.00 | $299.00 | $308.81 | |
United
| Professional | $84.00 | $84.00 | $230.00 |