| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.09 | $291.31 | $291.31 | |
Cigna
| Facility | $208.66 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $227.96 | $234.80 | |
Moda Health
| Facility | $98.06 | $234.34 | $332.68 | |
Moda Health
| Professional | $299.41 | $316.05 | $332.68 | |
Molina
| Professional | $30.00 | $245.51 | $292.39 | |
Regence BlueShield
| Facility | $291.31 | $324.88 | $487.32 | |
Regence BlueShield
| Professional | $232.88 | $241.18 | $349.31 | |
United
| Professional | $140.44 | $150.54 | $234.07 |