| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Aetna
| Professional | $119.35 | $174.35 | $258.18 | |
Cigna
| Professional | $130.29 | $201.76 | $278.50 | |
Moda Health
| Facility | $122.78 | $194.89 | $273.95 | |
Moda Health
| Professional | $199.07 | $268.45 | $325.39 | |
Molina
| Professional | $32.34 | $32.34 | $262.85 | |
Regence BlueShield
| Professional | $190.28 | $233.99 | $316.17 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 | |
United
| Professional | $177.48 | $216.93 | $298.81 |