| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.55 | $547.55 | $547.55 | |
Aetna
| Professional | $27.81 | $159.31 | $505.44 | |
Cigna
| Professional | $24.98 | $82.02 | $524.91 | |
Moda Health
| Facility | $25.26 | $159.31 | $576.20 | |
Moda Health
| Professional | $33.63 | $40.76 | $646.28 | |
Molina
| Professional | $32.34 | $32.34 | $514.34 | |
Regence BlueShield
| Facility | $453.62 | $958.04 | $1,244.19 | |
Regence BlueShield
| Professional | $22.55 | $48.81 | $502.22 | |
United
| Professional | $186.61 | $298.91 | $342.85 |