| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $752.40 | $1,083.63 | $2,284.00 | |
Aetna
| Professional | $291.75 | $572.36 | $812.72 | |
Cigna
| Facility | $325.08 | $866.91 | $1,625.46 | |
Cigna
| Professional | $242.27 | $310.57 | $766.43 | |
Moda Health
| Facility | $501.47 | $812.72 | $893.99 | |
Moda Health
| Professional | $416.78 | $416.78 | $500.14 | |
Molina
| Professional | $318.83 | $375.10 | $812.72 | |
Regence BlueShield
| Facility | $625.16 | $937.76 | $1,533.75 | |
Regence BlueShield
| Professional | $715.86 | $733.05 | $818.10 | |
United
| Professional | $175.05 | $240.12 | $657.48 |