| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.58 | $520.16 | $520.16 | |
Cigna
| Facility | $380.61 | $380.61 | $390.91 | |
Cigna
| Professional | $277.85 | $277.85 | $619.03 | |
Moda Health
| Facility | $172.87 | $418.45 | $594.04 | |
Moda Health
| Professional | $534.64 | $564.34 | $594.04 | |
Molina
| Professional | $30.00 | $438.40 | $522.11 | |
Regence BlueShield
| Facility | $520.16 | $580.12 | $870.18 | |
Regence BlueShield
| Professional | $415.83 | $415.83 | $623.74 | |
United
| Professional | $247.58 | $267.77 | $424.70 |