| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.56 | $177.56 | $534.16 | |
Cigna
| Facility | $174.44 | $174.44 | $174.44 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
Moda Health
| Facility | $177.56 | $188.21 | $253.91 | |
Moda Health
| Professional | $177.56 | $195.32 | $221.95 | |
Regence BlueShield
| Facility | $240.44 | $252.65 | $368.67 | |
Regence BlueShield
| Professional | $205.59 | $205.59 | $210.26 | |
United
| Professional | $176.00 | $186.90 | $186.90 |