| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,188.00 | $1,262.25 | $1,277.09 | |
Cigna
| Professional | $1,262.25 | $1,262.25 | $1,262.25 | |
Moda Health
| Facility | $1,262.25 | $1,262.25 | $1,353.73 | |
Moda Health
| Professional | $47.02 | $47.02 | $1,262.25 | |
Regence BlueShield
| Facility | $1,311.75 | $1,728.70 | $3,344.96 |