| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.38 | $158.38 | $982.72 | |
Aetna
| Professional | $157.46 | $163.83 | $297.01 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
Moda Health
| Facility | $199.53 | $248.87 | $317.94 | |
Moda Health
| Professional | $205.89 | $205.89 | $205.89 | |
Molina
| Professional | $158.38 | $277.17 | $3,500.00 | |
Regence BlueShield
| Facility | $610.51 | $761.52 | $1,109.29 | |
Regence BlueShield
| Professional | $241.04 | $283.58 | $298.33 | |
United
| Professional | $186.04 | $309.27 | $402.77 |