| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.03 | $214.65 | $214.65 | |
Cigna
| Facility | $278.10 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $278.10 | $286.44 | |
Moda Health
| Facility | $84.12 | $136.94 | $225.38 | |
Moda Health
| Professional | $103.98 | $154.94 | $172.17 | |
Molina
| Professional | $30.00 | $247.27 | $293.82 | |
Regence BlueShield
| Facility | $167.16 | $167.16 | $324.01 | |
Regence BlueShield
| Professional | $120.52 | $125.68 | $180.78 | |
United
| Professional | $175.30 | $186.23 | $295.37 |