| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Aetna
| Professional | $47.63 | $75.20 | $117.42 | |
Cigna
| Professional | $47.68 | $85.73 | $125.03 | |
Moda Health
| Facility | $55.48 | $87.47 | $129.59 | |
Moda Health
| Professional | $78.98 | $116.56 | $156.56 | |
Molina
| Professional | $32.34 | $32.34 | $126.89 | |
Regence BlueShield
| Professional | $75.70 | $101.09 | $148.02 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 | |
United
| Professional | $81.55 | $98.44 | $135.03 |