| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,109.30 | $1,109.30 | $1,581.24 | |
Aetna
| Professional | $425.72 | $1,185.93 | $1,185.93 | |
Cigna
| Facility | $2,371.86 | $2,371.86 | $2,371.86 | |
Moda Health
| Facility | $739.53 | $1,185.93 | $1,304.52 | |
Moda Health
| Professional | $608.16 | $608.16 | $729.80 | |
Molina
| Professional | $30.00 | $78.00 | $1,185.93 | |
Regence BlueShield
| Facility | $912.26 | $1,216.33 | $2,189.41 | |
Regence BlueShield
| Professional | $908.93 | $908.93 | $939.50 | |
United
| Professional | $255.43 | $255.43 | $699.40 |