| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.91 | $316.38 | $316.38 | |
Cigna
| Facility | $181.86 | $181.86 | $243.40 | |
Cigna
| Professional | $132.76 | $132.76 | $187.32 | |
Moda Health
| Facility | $93.74 | $254.52 | $361.32 | |
Moda Health
| Professional | $325.19 | $343.25 | $361.32 | |
Molina
| Professional | $30.00 | $266.65 | $317.57 | |
Regence BlueShield
| Facility | $316.38 | $352.85 | $529.28 | |
Regence BlueShield
| Professional | $252.92 | $252.92 | $379.39 | |
United
| Facility | $0.23 | $167.81 | $189.98 | |
United
| Professional | $134.25 | $145.19 | $241.43 |