| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.78 | $615.54 | $624.72 | |
Cigna
| Facility | $736.58 | $736.58 | $736.58 | |
Cigna
| Professional | $537.70 | $537.70 | $1,030.90 | |
Moda Health
| Facility | $241.25 | $392.73 | $646.33 | |
Moda Health
| Professional | $298.18 | $444.37 | $493.74 | |
Molina
| Professional | $30.00 | $709.11 | $842.59 | |
Regence BlueShield
| Facility | $479.36 | $479.36 | $929.15 | |
Regence BlueShield
| Professional | $345.62 | $360.43 | $518.42 | |
United
| Professional | $502.71 | $534.05 | $915.42 |