| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $413.25 | $918.34 | $918.34 | |
Cigna
| Facility | $657.81 | $695.41 | $695.41 | |
Cigna
| Professional | $507.65 | $695.41 | $741.34 | |
Moda Health
| Facility | $309.16 | $738.77 | $1,048.77 | |
Moda Health
| Professional | $943.89 | $996.33 | $1,048.77 | |
Molina
| Professional | $30.00 | $773.98 | $921.77 | |
Regence BlueShield
| Facility | $918.34 | $1,024.19 | $1,536.29 | |
Regence BlueShield
| Professional | $734.14 | $760.43 | $1,101.21 | |
United
| Professional | $442.78 | $474.62 | $732.83 |