| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $74.33 | $4,500.00 | |
Aetna
| Professional | $20.00 | $49.60 | $145.47 | |
Cigna
| Professional | $74.09 | $74.09 | $74.09 | |
Moda Health
| Facility | $25.80 | $43.29 | $157.97 | |
Moda Health
| Professional | $34.15 | $132.88 | $161.08 | |
Molina
| Professional | $30.00 | $55.00 | $144.94 | |
Regence BlueShield
| Facility | $227.76 | $405.92 | $630.62 | |
Regence BlueShield
| Professional | $28.81 | $60.19 | $125.87 | |
United
| Professional | $66.47 | $99.32 | $132.75 |