| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.79 | $348.79 | $502.45 | |
Aetna
| Professional | $135.28 | $376.84 | $376.84 | |
Cigna
| Facility | $150.72 | $401.95 | $753.66 | |
Cigna
| Professional | $84.25 | $144.10 | $330.43 | |
Moda Health
| Facility | $232.52 | $376.84 | $414.52 | |
Moda Health
| Professional | $193.25 | $197.12 | $231.90 | |
Molina
| Professional | $147.84 | $173.93 | $376.84 | |
Regence BlueShield
| Facility | $289.88 | $386.50 | $695.70 | |
Regence BlueShield
| Professional | $331.74 | $340.18 | $340.18 | |
United
| Professional | $81.17 | $81.17 | $222.24 |