| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $221.14 | $465.41 | $465.41 | |
Cigna
| Facility | $295.70 | $295.70 | $352.00 | |
Cigna
| Professional | $215.87 | $295.70 | $304.58 | |
Moda Health
| Facility | $135.56 | $385.09 | $531.51 | |
Moda Health
| Professional | $478.36 | $504.93 | $531.51 | |
Molina
| Professional | $30.00 | $392.25 | $467.15 | |
Regence BlueShield
| Facility | $465.41 | $519.04 | $778.58 | |
Regence BlueShield
| Professional | $372.06 | $372.06 | $558.09 | |
United
| Facility | $0.34 | $238.12 | $244.99 | |
United
| Professional | $194.15 | $209.99 | $355.15 |