| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.85 | $525.85 | $757.54 | |
Aetna
| Professional | $203.95 | $568.15 | $568.15 | |
Cigna
| Facility | $227.26 | $606.02 | $1,136.28 | |
Cigna
| Professional | $217.19 | $255.52 | $481.93 | |
Moda Health
| Facility | $350.57 | $568.15 | $624.97 | |
Moda Health
| Professional | $291.36 | $297.19 | $349.63 | |
Molina
| Professional | $222.89 | $262.22 | $568.15 | |
Regence BlueShield
| Facility | $437.04 | $625.79 | $1,048.90 | |
Regence BlueShield
| Professional | $463.15 | $512.30 | $512.30 | |
United
| Professional | $122.37 | $122.56 | $437.70 |