| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.59 | $436.59 | $628.94 | |
Aetna
| Professional | $169.33 | $471.71 | $471.71 | |
Cigna
| Facility | $188.69 | $503.17 | $943.44 | |
Cigna
| Professional | $126.23 | $180.26 | $444.95 | |
Moda Health
| Facility | $291.06 | $471.71 | $518.88 | |
Moda Health
| Professional | $241.90 | $241.90 | $290.27 | |
Molina
| Professional | $185.05 | $217.71 | $471.71 | |
Regence BlueShield
| Facility | $362.85 | $544.28 | $890.19 | |
Regence BlueShield
| Professional | $415.55 | $425.66 | $475.18 | |
United
| Professional | $101.60 | $125.43 | $343.44 |