| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.68 | $173.68 | $173.68 | |
Aetna
| Professional | $275.51 | $291.10 | $337.51 | |
Cigna
| Professional | $471.64 | $471.64 | $517.57 | |
Moda Health
| Facility | $234.18 | $281.02 | $385.55 | |
Moda Health
| Professional | $41.65 | $41.65 | $41.65 | |
Molina
| Professional | $27.57 | $367.38 | $489.76 | |
Regence BlueShield
| Facility | $1,798.35 | $2,594.87 | $3,169.92 | |
Regence BlueShield
| Professional | $379.32 | $446.26 | $468.97 | |
United
| Professional | $259.24 | $340.48 | $609.27 |