| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $517.29 | $517.29 | $572.22 | |
Cigna
| Facility | $118.81 | $316.83 | $634.67 | |
Moda Health
| Facility | $517.29 | $517.29 | $662.14 | |
Molina
| Professional | $30.00 | $78.00 | $3,900.00 | |
Regence BlueShield
| Facility | $307.89 | $429.29 | $524.42 |