| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.24 | $1,404.00 | $2,322.75 | |
Aetna
| Professional | $103.09 | $241.81 | $645.61 | |
Cigna
| Facility | $446.29 | $446.29 | $447.54 | |
Cigna
| Professional | $136.88 | $247.07 | $457.03 | |
Moda Health
| Facility | $104.52 | $270.00 | $742.45 | |
Moda Health
| Professional | $171.32 | $259.58 | $502.02 | |
Molina
| Professional | $32.34 | $358.24 | $450.68 | |
Regence BlueShield
| Facility | $1,231.09 | $1,753.89 | $2,148.87 | |
Regence BlueShield
| Professional | $196.80 | $304.89 | $541.26 | |
United
| Facility | $450.00 | $2,620.00 | $4,441.00 | |
United
| Professional | $261.22 | $374.19 | $542.73 |