| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $297.33 | $297.33 | $297.33 | |
Cigna
| Facility | $326.48 | $326.48 | $326.48 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
Moda Health
| Facility | $297.33 | $315.17 | $425.18 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Professional | $363.00 | $363.00 | $371.25 | |
United
| Professional | $339.28 | $360.30 | $360.30 |