| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.17 | $384.17 | $384.17 | |
Aetna
| Professional | $203.59 | $370.56 | $615.30 | |
Cigna
| Professional | $359.63 | $359.63 | $359.63 | |
Moda Health
| Facility | $370.56 | $502.79 | $779.66 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 | |
Regence BlueShield
| Professional | $476.11 | $476.11 | $476.11 | |
United
| Professional | $188.82 | $280.99 | $283.23 |