| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.20 | $967.13 | $2,600.00 | |
Aetna
| Professional | $291.75 | $530.30 | $812.72 | |
Cigna
| Facility | $325.08 | $866.91 | $1,625.46 | |
Cigna
| Professional | $241.20 | $310.57 | $766.43 | |
Moda Health
| Facility | $501.47 | $812.72 | $1,293.59 | |
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 | $238.22 | $686.06 |