| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Aetna
| Professional | $102.79 | $158.86 | $253.01 | |
Cigna
| Professional | $102.77 | $183.87 | $268.14 | |
Moda Health
| Facility | $116.50 | $173.36 | $265.70 | |
Moda Health
| Professional | $170.26 | $215.76 | $324.12 | |
Molina
| Professional | $32.34 | $32.34 | $261.49 | |
Regence BlueShield
| Facility | $348.33 | $491.54 | $606.59 | |
Regence BlueShield
| Professional | $161.12 | $210.49 | $312.67 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 | |
United
| Professional | $166.50 | $212.08 | $279.32 |