| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.89 | $385.88 | $408.59 | |
Aetna
| Professional | $293.16 | $366.45 | $596.52 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Moda Health
| Facility | $335.55 | $355.68 | $479.84 | |
Moda Health
| Professional | $329.09 | $329.09 | $362.00 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Professional | $434.23 | $434.23 | $444.10 | |
United
| Professional | $371.87 | $394.91 | $394.91 |