| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.03 | $152.03 | $493.80 | |
Aetna
| Professional | $194.29 | $240.00 | $379.19 | |
Cigna
| Professional | $146.27 | $146.27 | $146.27 | |
Moda Health
| Facility | $190.37 | $379.19 | $417.11 | |
Moda Health
| Professional | $197.64 | $197.64 | $197.64 | |
Molina
| Professional | $32.34 | $112.34 | $296.45 | |
Regence BlueShield
| Facility | $281.58 | $397.02 | $485.01 | |
Regence BlueShield
| Professional | $224.97 | $264.67 | $297.81 | |
United
| Professional | $209.24 | $289.89 | $405.85 |