| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.72 | $712.72 | $1,015.95 | |
Aetna
| Professional | $273.52 | $761.96 | $761.96 | |
Cigna
| Facility | $1,523.94 | $1,523.94 | $1,523.94 | |
Cigna
| Professional | $371.08 | $448.93 | $561.16 | |
Moda Health
| Facility | $371.21 | $761.96 | $807.68 | |
Moda Health
| Professional | $390.75 | $390.75 | $468.90 | |
Regence BlueShield
| Facility | $586.13 | $781.50 | $1,406.70 | |
Regence BlueShield
| Professional | $332.14 | $584.07 | $603.48 | |
United
| Professional | $164.12 | $164.12 | $468.90 |