| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.57 | $1,075.90 | $1,530.12 | |
Aetna
| Professional | $314.18 | $348.57 | $450.36 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Moda Health
| Facility | $314.18 | $345.60 | $449.28 | |
Molina
| Professional | $30.00 | $30.00 | $410.73 | |
Regence BlueShield
| Facility | $714.15 | $1,020.71 | $1,228.71 |