| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.69 | $170.69 | $211.93 | |
Cigna
| Professional | $172.39 | $172.39 | $172.39 | |
Moda Health
| Facility | $146.19 | $191.41 | $255.42 | |
Molina
| Professional | $1,500.00 | $1,500.00 | $1,500.00 | |
Regence BlueShield
| Facility | $417.42 | $417.42 | $417.42 | |
Regence BlueShield
| Professional | $311.93 | $311.93 | $311.93 | |
United
| Professional | $223.11 | $301.49 | $331.65 |