| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.31 | $2,143.56 | $4,963.21 | |
Aetna
| Professional | $86.90 | $144.31 | $245.45 | |
Cigna
| Professional | $100.03 | $170.64 | $260.08 | |
Moda Health
| Facility | $97.99 | $150.40 | $257.72 | |
Moda Health
| Professional | $149.44 | $181.14 | $307.94 | |
Molina
| Professional | $32.34 | $32.34 | $249.64 | |
Regence BlueShield
| Facility | $3,306.03 | $4,697.79 | $5,755.74 | |
Regence BlueShield
| Professional | $141.69 | $189.72 | $298.23 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 | |
United
| Professional | $159.25 | $201.60 | $268.80 |