| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $261.92 | $261.92 | $286.70 | |
Cigna
| Facility | $541.00 | $541.00 | $617.49 | |
Moda Health
| Facility | $1,123.20 | $1,123.20 | $1,123.20 | |
Regence BlueShield
| Facility | $689.45 | $689.45 | $689.45 | |
United
| Professional | $389.40 | $627.78 | $639.10 |