| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Aetna
| Professional | $219.88 | $340.89 | $529.17 | |
Cigna
| Professional | $226.30 | $382.75 | $558.17 | |
Moda Health
| Facility | $228.08 | $354.35 | $555.64 | |
Moda Health
| Professional | $355.99 | $431.50 | $659.86 | |
Molina
| Professional | $32.34 | $32.34 | $527.14 | |
Regence BlueShield
| Facility | $3,306.03 | $4,697.79 | $5,755.74 | |
Regence BlueShield
| Professional | $338.10 | $444.34 | $641.11 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 | |
United
| Professional | $306.60 | $420.48 | $567.82 |