| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.50 | $309.50 | $9,315.20 | |
Aetna
| Professional | $172.82 | $226.22 | $309.50 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Moda Health
| Facility | $226.22 | $226.22 | $289.56 | |
Regence BlueShield
| Facility | $649.29 | $913.80 | $1,119.58 |