| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.53 | $817.53 | $1,513.60 | |
Aetna
| Professional | $263.63 | $431.54 | $431.54 | |
Cigna
| Facility | $330.51 | $683.06 | $815.68 | |
Cigna
| Professional | $325.14 | $395.34 | $476.74 | |
Moda Health
| Facility | $99.12 | $392.13 | $491.96 | |
Moda Health
| Professional | $320.74 | $320.74 | $549.36 | |
Molina
| Professional | $30.00 | $30.00 | $2,000.00 | |
Regence BlueShield
| Facility | $396.89 | $642.71 | $921.82 | |
Regence BlueShield
| Professional | $447.68 | $471.97 | $486.10 | |
United
| Professional | $277.77 | $316.57 | $506.58 |