| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.94 | $329.67 | $598.53 | |
Cigna
| Professional | $17.77 | $33.58 | $366.63 | |
Moda Health
| Facility | $20.00 | $36.54 | $634.44 | |
Moda Health
| Professional | $28.28 | $566.67 | $794.44 | |
Molina
| Professional | $32.34 | $32.34 | $633.01 | |
Regence BlueShield
| Facility | $348.33 | $491.54 | $606.59 | |
Regence BlueShield
| Professional | $18.97 | $38.61 | $611.57 | |
United
| Professional | $75.95 | $121.54 | $329.86 |