| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.42 | $683.77 | $1,556.80 | |
Aetna
| Professional | $184.09 | $247.21 | $512.83 | |
Cigna
| Facility | $205.13 | $547.01 | $1,025.64 | |
Cigna
| Professional | $114.67 | $196.12 | $449.72 | |
Moda Health
| Facility | $316.43 | $512.83 | $564.11 | |
Moda Health
| Professional | $262.99 | $276.14 | $315.58 | |
Molina
| Professional | $201.19 | $236.69 | $512.83 | |
Regence BlueShield
| Facility | $394.49 | $565.42 | $946.76 | |
Regence BlueShield
| Professional | $451.63 | $462.55 | $462.55 | |
United
| Professional | $110.46 | $110.46 | $262.99 |