| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $426.58 | $812.83 | |
Aetna
| Professional | $251.19 | $346.74 | $691.83 | |
Cigna
| Facility | $691.83 | $691.83 | $691.83 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
Moda Health
| Facility | $331.13 | $331.13 | $758.58 | |
Moda Health
| Professional | $275.42 | $363.08 | $691.83 | |
Pacific Source
| Facility | $288.40 | $288.40 | $288.40 | |
Providence
| Facility | $338.84 | $478.63 | $912.01 | |
Providence
| Professional | $79.43 | $338.84 | $371.54 | |
United
| Professional | $346.74 | $398.11 | $398.11 |