| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Aetna
| Professional | $161.94 | $255.33 | $374.02 | |
Cigna
| Professional | $151.31 | $272.80 | $397.83 | |
Moda Health
| Facility | $177.03 | $270.64 | $396.46 | |
Moda Health
| Professional | $270.60 | $332.94 | $476.78 | |
Molina
| Professional | $32.34 | $32.34 | $385.47 | |
Regence BlueShield
| Facility | $670.93 | $958.04 | $1,244.19 | |
Regence BlueShield
| Professional | $255.75 | $320.43 | $461.15 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 | |
United
| Professional | $252.70 | $324.89 | $418.76 |