| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,755.73 | $1,755.73 | $1,755.73 | |
Moda Health
| Facility | $264.52 | $342.92 | $714.23 | |
Moda Health
| Professional | $352.30 | $352.30 | $352.30 | |
Pacific Source
| Facility | $494.31 | $628.97 | $664.16 | |
Providence
| Facility | $260.20 | $450.16 | $702.57 | |
Regence BlueShield
| Facility | $1,774.50 | $2,222.82 | $2,703.93 |