| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.71 | $357.13 | $357.13 | |
Cigna
| Facility | $233.26 | $233.26 | $255.82 | |
Cigna
| Professional | $170.28 | $170.28 | $443.56 | |
Moda Health
| Facility | $120.23 | $287.30 | $407.85 | |
Moda Health
| Professional | $367.07 | $387.46 | $407.85 | |
Molina
| Professional | $30.00 | $300.99 | $358.46 | |
Regence BlueShield
| Facility | $357.13 | $398.29 | $597.44 | |
Regence BlueShield
| Professional | $285.50 | $295.70 | $428.24 | |
United
| Professional | $172.19 | $186.23 | $286.98 |