| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $707.95 | |
Aetna
| Professional | $147.91 | $223.87 | $537.03 | |
BCBS
| Facility | $275.42 | $512.86 | $1,000.00 | |
BCBS
| Professional | $275.42 | $281.84 | $281.84 | |
Cigna
| Facility | $213.80 | $575.44 | $1,071.52 | |
Moda Health
| Facility | $275.42 | $275.42 | $537.03 | |
Moda Health
| Professional | $257.04 | $331.13 | $346.74 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
Regence BlueShield
| Facility | $416.87 | $537.03 | $1,000.00 | |
Regence BlueShield
| Professional | $234.42 | $234.42 | $288.40 | |
Select Health
| Professional | $275.42 | $275.42 | $275.42 | |
United
| Professional | $114.82 | $114.82 | $275.42 |