| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.10 | $318.81 | $318.81 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $382.03 | $393.49 | |
Moda Health
| Facility | $120.22 | $205.00 | $334.75 | |
Moda Health
| Professional | $148.58 | $221.44 | $246.04 | |
Molina
| Professional | $30.00 | $373.71 | $444.11 | |
Regence BlueShield
| Facility | $238.87 | $238.87 | $506.82 | |
Regence BlueShield
| Professional | $172.23 | $179.61 | $258.33 | |
United
| Professional | $242.50 | $257.63 | $408.60 |