| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.39 | $275.39 | $302.93 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Moda Health
| Facility | $275.39 | $291.92 | $393.82 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Facility | $0.02 | $0.02 | $0.03 | |
Regence BlueShield
| Professional | $356.40 | $356.40 | $364.50 | |
United
| Professional | $279.49 | $296.81 | $324.00 |