| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.43 | $196.93 | $728.29 | |
Aetna
| Professional | $24.35 | $72.98 | $145.26 | |
Cigna
| Professional | $21.86 | $43.35 | $100.34 | |
Moda Health
| Facility | $35.36 | $62.81 | $144.66 | |
Moda Health
| Professional | $56.03 | $67.92 | $193.44 | |
Molina
| Professional | $32.34 | $32.34 | $156.43 | |
Regence BlueShield
| Facility | $348.33 | $491.54 | $606.59 | |
Regence BlueShield
| Professional | $37.59 | $75.76 | $140.58 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 | |
United
| Professional | $75.14 | $75.91 | $98.89 |