| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.33 | $476.13 | $476.13 | |
Cigna
| Facility | $297.02 | $297.02 | $380.95 | |
Cigna
| Professional | $216.82 | $297.02 | $316.64 | |
Moda Health
| Facility | $146.71 | $398.88 | $543.75 | |
Moda Health
| Professional | $489.38 | $516.55 | $543.75 | |
Molina
| Professional | $30.00 | $401.29 | $477.91 | |
Regence BlueShield
| Facility | $476.13 | $531.01 | $796.52 | |
Regence BlueShield
| Professional | $380.63 | $380.63 | $570.94 | |
United
| Professional | $210.12 | $227.26 | $363.35 |