| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,999.16 | $5,999.16 | $8,642.40 | |
Aetna
| Professional | $2,326.80 | $6,481.80 | $6,481.80 | |
Cigna
| Facility | $3,240.90 | $3,521.78 | $12,963.60 | |
Cigna
| Professional | $2,477.81 | $3,819.42 | $5,501.00 | |
Moda Health
| Facility | $3,124.56 | $6,481.80 | $7,129.98 | |
Moda Health
| Professional | $3,324.00 | $3,324.00 | $3,988.80 | |
Molina
| Professional | $2,542.86 | $2,991.60 | $6,481.80 | |
Regence BlueShield
| Facility | $4,986.00 | $6,648.00 | $11,966.40 | |
Regence BlueShield
| Professional | $2,825.40 | $5,846.80 | $5,846.80 | |
United
| Professional | $1,396.08 | $1,396.08 | $3,988.80 |