| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.79 | $630.00 | $630.00 | |
Aetna
| Professional | $38.00 | $50.50 | $630.00 | |
Cigna
| Professional | $450.00 | $549.00 | $814.50 | |
Moda Health
| Professional | $338.25 | $522.79 | $637.54 | |
Molina
| Professional | $30.00 | $55.00 | $341.35 | |
Regence BlueShield
| Professional | $510.00 | $585.00 | $700.00 | |
United
| Professional | $38.00 | $56.00 | $74.00 |