| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $549.54 | $776.25 | |
Aetna
| Professional | $162.18 | $245.47 | $588.84 | |
BCBS
| Facility | $302.00 | $562.34 | $1,096.48 | |
BCBS
| Professional | $302.00 | $309.03 | $309.03 | |
Cigna
| Facility | $234.42 | $630.96 | $1,174.90 | |
Moda Health
| Facility | $302.00 | $302.00 | $588.84 | |
Moda Health
| Professional | $295.12 | $316.23 | $363.08 | |
Molina
| Professional | $30.20 | $30.20 | $77.62 | |
Regence BlueShield
| Facility | $457.09 | $562.34 | $1,096.48 | |
Regence BlueShield
| Professional | $257.04 | $257.04 | $316.23 | |
Select Health
| Professional | $302.00 | $302.00 | $302.00 | |
United
| Professional | $125.89 | $125.89 | $302.00 |