| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $227.32 | $227.32 | $248.83 | |
Cigna
| Facility | $455.00 | $455.00 | $519.99 | |
Moda Health
| Professional | $945.60 | $945.60 | $945.60 | |
Regence BlueShield
| Facility | $598.37 | $598.37 | $598.37 | |
United
| Professional | $327.92 | $415.99 | $538.19 |