| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,649.59 | $1,649.59 | $2,376.40 | |
Aetna
| Professional | $639.79 | $1,782.30 | $1,782.30 | |
Cigna
| Facility | $891.15 | $968.38 | $3,564.60 | |
Cigna
| Professional | $681.23 | $1,050.26 | $1,512.58 | |
Moda Health
| Facility | $859.16 | $1,782.30 | $1,960.53 | |
Moda Health
| Professional | $914.00 | $914.00 | $1,096.80 | |
Molina
| Professional | $699.21 | $914.00 | $1,782.30 | |
Regence BlueShield
| Facility | $1,371.00 | $1,828.00 | $3,290.40 | |
Regence BlueShield
| Professional | $776.90 | $1,607.78 | $1,607.78 | |
United
| Professional | $383.88 | $383.88 | $1,096.80 |