| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $110.60 | $273.04 | $498.63 | |
Cigna
| Professional | $162.00 | $162.00 | $162.00 | |
Moda Health
| Facility | $48.27 | $48.27 | $48.27 | |
Molina
| Professional | $30.00 | $32.34 | $3,900.00 | |
Regence BlueShield
| Facility | $134.19 | $206.06 | $311.69 |