| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.74 | $198.74 | $358.69 | |
Aetna
| Professional | $139.12 | $228.55 | $387.54 | |
Cigna
| Facility | $152.66 | $210.56 | $413.38 | |
Cigna
| Professional | $60.16 | $188.73 | $259.22 | |
Moda Health
| Facility | $186.82 | $387.54 | $410.79 | |
Moda Health
| Professional | $198.74 | $198.74 | $238.49 | |
Molina
| Professional | $198.74 | $198.74 | $198.74 | |
Regence BlueShield
| Facility | $298.11 | $397.48 | $715.46 | |
Regence BlueShield
| Professional | $168.93 | $297.01 | $306.70 | |
United
| Professional | $69.73 | $83.47 | $249.05 |