| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.41 | $257.41 | $370.84 | |
Aetna
| Professional | $99.84 | $278.13 | $278.13 | |
Cigna
| Facility | $111.25 | $296.67 | $556.26 | |
Moda Health
| Facility | $171.61 | $278.13 | $305.94 | |
Moda Health
| Professional | $142.63 | $142.63 | $171.16 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $213.95 | $285.26 | $513.47 | |
Regence BlueShield
| Professional | $212.93 | $212.93 | $220.35 | |
United
| Professional | $59.90 | $59.90 | $164.02 |