| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $475.16 | $475.16 | $677.30 | |
Aetna
| Professional | $182.35 | $507.98 | $507.98 | |
Cigna
| Facility | $1,015.98 | $1,015.98 | $1,015.98 | |
Moda Health
| Facility | $316.77 | $507.98 | $558.78 | |
Moda Health
| Professional | $260.50 | $260.50 | $312.60 | |
Molina
| Professional | $30.00 | $30.00 | $507.98 | |
Regence BlueShield
| Facility | $390.75 | $521.00 | $937.80 | |
Regence BlueShield
| Professional | $389.54 | $389.54 | $402.49 | |
United
| Professional | $109.41 | $109.41 | $299.58 |