| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.76 | $287.76 | $393.56 | |
Aetna
| Professional | $152.63 | $425.22 | $425.22 | |
Cigna
| Facility | $170.09 | $231.04 | $850.44 | |
Cigna
| Professional | $207.08 | $250.69 | $313.36 | |
Moda Health
| Facility | $204.98 | $425.22 | $450.73 | |
Moda Health
| Professional | $218.06 | $228.96 | $261.67 | |
Regence BlueShield
| Facility | $327.08 | $468.83 | $785.02 | |
Regence BlueShield
| Professional | $185.35 | $374.23 | $383.50 | |
United
| Professional | $91.59 | $91.59 | $261.67 |