| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.01 | $260.01 | $260.01 | |
Cigna
| Facility | $10,634.14 | $21,977.22 | $26,233.45 | |
Moda Health
| Facility | $260.01 | $260.01 | $332.81 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Facility | $15,079.15 | $20,404.00 | $27,378.47 |