| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.56 | $902.56 | $902.56 | |
Aetna
| Professional | $465.15 | $1,033.66 | $1,033.66 | |
Cigna
| Facility | $740.40 | $944.53 | $944.53 | |
Cigna
| Professional | $689.51 | $944.53 | $1,006.92 | |
Moda Health
| Facility | $347.99 | $831.52 | $1,180.47 | |
Moda Health
| Professional | $1,062.42 | $1,121.45 | $1,180.47 | |
Molina
| Professional | $30.00 | $871.18 | $1,037.52 | |
Regence BlueShield
| Facility | $1,033.66 | $1,152.80 | $1,729.20 | |
Regence BlueShield
| Professional | $826.33 | $855.93 | $1,239.49 | |
United
| Professional | $498.37 | $539.03 | $801.38 |