| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.81 | $813.81 | $1,172.36 | |
Aetna
| Professional | $315.64 | $879.27 | $879.27 | |
Cigna
| Facility | $351.71 | $937.89 | $1,758.54 | |
Cigna
| Professional | $336.06 | $395.37 | $746.15 | |
Moda Health
| Facility | $542.54 | $879.27 | $967.20 | |
Moda Health
| Professional | $450.91 | $459.93 | $541.09 | |
Molina
| Professional | $344.95 | $405.82 | $879.27 | |
Regence BlueShield
| Facility | $676.37 | $968.49 | $1,623.28 | |
Regence BlueShield
| Professional | $717.34 | $793.35 | $793.35 | |
United
| Professional | $189.38 | $189.67 | $518.54 |