| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.74 | $256.95 | $256.95 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $312.30 | $321.67 | |
Moda Health
| Facility | $94.35 | $166.09 | $269.81 | |
Moda Health
| Professional | $116.61 | $173.78 | $193.09 | |
Molina
| Professional | $30.00 | $304.67 | $362.09 | |
Regence BlueShield
| Facility | $187.47 | $187.47 | $422.25 | |
Regence BlueShield
| Professional | $135.16 | $140.96 | $202.74 | |
United
| Professional | $197.66 | $209.99 | $333.04 |