| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.91 | $282.91 | $407.55 | |
Aetna
| Professional | $109.73 | $147.35 | $147.35 | |
Cigna
| Facility | $122.27 | $326.05 | $611.34 | |
Moda Health
| Facility | $188.61 | $305.66 | $336.23 | |
Moda Health
| Professional | $156.75 | $156.75 | $188.10 | |
Molina
| Professional | $30.00 | $30.00 | $305.66 | |
Regence BlueShield
| Facility | $235.13 | $313.50 | $564.29 | |
Regence BlueShield
| Professional | $234.32 | $234.32 | $242.33 | |
United
| Professional | $65.84 | $65.84 | $180.26 |