| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Aetna
| Professional | $272.81 | $273.52 | $462.23 | |
Cigna
| Professional | $262.79 | $321.69 | $359.14 | |
Moda Health
| Facility | $197.55 | $350.11 | $591.65 | |
Moda Health
| Professional | $194.22 | $194.22 | $194.22 | |
Molina
| Professional | $30.00 | $161.63 | $3,500.00 | |
Regence BlueShield
| Professional | $336.57 | $336.57 | $341.26 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 | |
United
| Professional | $186.95 | $250.90 | $406.89 |