| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $812.83 | $1,023.29 | |
Aetna
| Professional | $281.84 | $389.05 | $812.83 | |
BCBS
| Facility | $457.09 | $758.58 | $1,479.11 | |
BCBS
| Professional | $416.87 | $426.58 | $426.58 | |
Cigna
| Facility | $323.59 | $870.96 | $1,621.81 | |
Cigna
| Professional | $257.04 | $309.03 | $758.58 | |
Moda Health
| Facility | $416.87 | $426.58 | $977.24 | |
Moda Health
| Professional | $416.87 | $436.52 | $524.81 | |
Molina
| Professional | $309.03 | $309.03 | $363.08 | |
Regence BlueShield
| Facility | $630.96 | $851.14 | $1,513.56 | |
Regence BlueShield
| Professional | $354.81 | $354.81 | $436.52 | |
Select Health
| Professional | $588.84 | $602.56 | $707.95 | |
United
| Professional | $173.78 | $239.88 | $691.83 |