| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | TC | $348.98 | $455.50 | $755.37 |
Cigna
| Professional | TC | $461.78 | $652.03 | $786.27 |
Moda Health
| Professional | TC | $697.04 | $739.29 | $844.90 |
Regence BlueShield
| Facility | 26 | $1,784.45 | $1,784.45 | $1,784.45 |
Regence BlueShield
| Professional | TC | $561.15 | $660.18 | $728.65 |
United
| Professional | TC | $378.50 | $533.84 | $777.23 |