| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $393.56 | $566.96 | $1,735.91 | |
Aetna
| Professional | $204.98 | $250.77 | $425.22 | |
Cigna
| Facility | $170.09 | $453.57 | $850.44 | |
Cigna
| Professional | $131.10 | $162.57 | $392.46 | |
Moda Health
| Facility | $204.98 | $327.08 | $467.74 | |
Moda Health
| Professional | $218.06 | $218.06 | $261.67 | |
Molina
| Professional | $166.81 | $196.25 | $425.22 | |
Regence BlueShield
| Facility | $327.08 | $490.64 | $802.46 | |
Regence BlueShield
| Professional | $374.23 | $383.50 | $419.07 | |
United
| Professional | $91.59 | $123.22 | $351.32 |