| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.48 | $326.23 | $423.29 | |
Cigna
| Facility | $303.18 | $312.81 | $312.81 | |
Cigna
| Professional | $228.35 | $228.35 | $333.47 | |
Moda Health
| Facility | $142.53 | $340.51 | $483.41 | |
Moda Health
| Professional | $435.07 | $459.24 | $483.41 | |
Molina
| Professional | $30.00 | $356.75 | $424.87 | |
Regence BlueShield
| Facility | $423.29 | $472.08 | $708.12 | |
Regence BlueShield
| Professional | $338.39 | $351.18 | $507.58 | |
United
| Professional | $204.13 | $220.78 | $340.21 |