| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,607.40 | |
Aetna
| Professional | $244.16 | $399.15 | $606.46 | |
Cigna
| Professional | $252.53 | $445.65 | $649.91 | |
Moda Health
| Facility | $279.14 | $434.53 | $642.85 | |
Moda Health
| Professional | $416.84 | $627.12 | $760.14 | |
Molina
| Professional | $32.34 | $32.34 | $611.85 | |
Regence BlueShield
| Facility | $1,016.89 | $1,451.69 | $1,937.47 | |
Regence BlueShield
| Professional | $394.37 | $511.29 | $737.41 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 | |
United
| Professional | $408.10 | $524.70 | $686.41 |