| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.25 | $751.25 | $751.25 | |
Aetna
| Professional | $226.63 | $631.30 | $631.30 | |
Cigna
| Facility | $315.66 | $343.02 | $1,262.64 | |
Cigna
| Professional | $78.02 | $372.11 | $465.14 | |
Moda Health
| Facility | $304.33 | $631.30 | $669.19 | |
Moda Health
| Professional | $323.75 | $323.75 | $388.50 | |
Regence BlueShield
| Facility | $404.55 | $582.75 | $1,165.50 | |
Regence BlueShield
| Professional | $275.19 | $555.80 | $569.69 | |
United
| Professional | $73.25 | $135.97 | $294.23 |