| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.96 | $441.00 | $441.00 | |
Aetna
| Professional | $38.00 | $50.50 | $441.00 | |
Cigna
| Professional | $300.00 | $366.00 | $543.00 | |
Moda Health
| Professional | $236.78 | $365.96 | $446.29 | |
Molina
| Professional | $30.00 | $55.00 | $228.44 | |
Regence BlueShield
| Professional | $357.00 | $409.50 | $490.00 | |
United
| Professional | $38.00 | $55.00 | $74.00 |