| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $224.00 | |
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
BCBS
| Facility | $152.19 | $372.16 | $604.59 | |
BCBS
| Professional | $8.13 | $27.10 | $27.10 | |
Cigna
| Facility | $337.40 | $700.00 | $2,742.34 | |
Moda Health
| Facility | $900.33 | $1,059.21 | $1,694.74 | |
Providence
| Facility | $900.33 | $1,059.21 | $1,694.74 | |
Wellpoint
| Professional | $353.56 | $353.56 | $477.31 |