| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $355.87 | $790.82 | $790.82 | |
Cigna
| Facility | $566.48 | $576.88 | $576.88 | |
Cigna
| Professional | $421.12 | $421.12 | $614.98 | |
Moda Health
| Facility | $266.24 | $636.17 | $903.14 | |
Moda Health
| Professional | $812.83 | $857.98 | $903.14 | |
Molina
| Professional | $30.00 | $666.52 | $793.77 | |
Regence BlueShield
| Facility | $790.82 | $881.97 | $1,322.96 | |
Regence BlueShield
| Professional | $632.20 | $654.85 | $948.30 | |
United
| Professional | $381.29 | $412.39 | $699.87 |