| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.16 | $870.16 | $1,253.56 | |
Aetna
| Professional | $145.12 | $145.12 | $145.12 | |
Cigna
| Facility | $202.13 | $510.83 | $1,880.34 | |
Moda Health
| Facility | $580.11 | $940.17 | $1,034.19 | |
Moda Health
| Professional | $482.14 | $482.14 | $578.57 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $723.21 | $964.28 | $1,735.70 | |
Regence BlueShield
| Professional | $720.38 | $720.38 | $744.80 | |
United
| Professional | $87.07 | $87.07 | $248.77 |