| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
Cigna
| Facility | $110.60 | $228.57 | $498.63 | |
Moda Health
| Facility | $73.70 | $84.76 | $113.78 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Facility | $163.81 | $224.20 | $289.74 |