| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.32 | $271.32 | $390.86 | |
Aetna
| Professional | $105.23 | $293.14 | $293.14 | |
Cigna
| Facility | $117.25 | $312.67 | $586.26 | |
Cigna
| Professional | $112.11 | $131.88 | $248.72 | |
Moda Health
| Facility | $180.88 | $293.14 | $322.45 | |
Moda Health
| Professional | $150.33 | $150.33 | $180.40 | |
Molina
| Professional | $115.01 | $135.30 | $293.14 | |
Regence BlueShield
| Facility | $225.50 | $300.66 | $541.19 | |
Regence BlueShield
| Professional | $239.30 | $264.64 | $264.64 | |
United
| Professional | $63.14 | $63.14 | $172.88 |