| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.88 | $295.29 | $295.29 | |
Cigna
| Facility | $192.91 | $192.91 | $211.50 | |
Cigna
| Professional | $140.82 | $140.82 | $205.65 | |
Moda Health
| Facility | $99.43 | $237.54 | $337.23 | |
Moda Health
| Professional | $303.51 | $320.37 | $337.23 | |
Molina
| Professional | $30.00 | $248.87 | $296.39 | |
Regence BlueShield
| Facility | $295.29 | $329.33 | $494.00 | |
Regence BlueShield
| Professional | $236.06 | $244.99 | $354.09 | |
United
| Professional | $142.40 | $152.65 | $244.27 |