| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.98 | $756.17 | $756.17 | |
Aetna
| Professional | $231.00 | $635.44 | $645.45 | |
Cigna
| Facility | $758.68 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $758.68 | $808.79 | |
Moda Health
| Facility | $249.06 | $405.41 | $667.21 | |
Moda Health
| Professional | $307.83 | $324.94 | $509.74 | |
Molina
| Professional | $30.00 | $731.99 | $869.78 | |
Regence BlueShield
| Facility | $494.90 | $494.90 | $959.04 | |
Regence BlueShield
| Professional | $356.82 | $372.11 | $535.23 | |
United
| Professional | $519.01 | $551.38 | $944.87 |