| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.01 | $496.01 | $714.56 | |
Aetna
| Professional | $192.38 | $535.91 | $535.91 | |
Cigna
| Facility | $214.37 | $571.65 | $1,071.83 | |
Cigna
| Professional | $204.97 | $204.97 | $241.14 | |
Moda Health
| Facility | $330.68 | $535.91 | $589.51 | |
Moda Health
| Professional | $274.83 | $288.57 | $329.80 | |
Molina
| Professional | $210.25 | $247.35 | $535.91 | |
Regence BlueShield
| Facility | $412.25 | $590.88 | $989.39 | |
Regence BlueShield
| Professional | $472.00 | $483.62 | $483.62 | |
United
| Professional | $115.43 | $115.43 | $316.05 |