| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.00 | $588.00 | $847.08 | |
Aetna
| Professional | $228.06 | $635.30 | $635.30 | |
Cigna
| Facility | $317.66 | $345.19 | $1,270.61 | |
Cigna
| Professional | $70.87 | $374.18 | $467.72 | |
Moda Health
| Facility | $306.25 | $635.30 | $673.43 | |
Moda Health
| Professional | $325.80 | $325.80 | $390.96 | |
Regence BlueShield
| Facility | $367.80 | $570.15 | $1,172.88 | |
Regence BlueShield
| Professional | $276.93 | $559.29 | $573.20 | |
United
| Professional | $66.59 | $136.84 | $260.64 |