| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $405.71 | $718.81 | $822.97 | |
Cigna
| Facility | $812.83 | $812.83 | $812.83 | |
Cigna
| Professional | $593.37 | $812.83 | $866.52 | |
Moda Health
| Facility | $288.18 | $456.42 | $761.94 | |
Moda Health
| Professional | $356.18 | $530.82 | $589.79 | |
Molina
| Professional | $30.00 | $819.27 | $973.39 | |
Regence BlueShield
| Facility | $572.62 | $572.62 | $1,050.03 | |
Regence BlueShield
| Professional | $412.86 | $430.55 | $619.29 | |
United
| Professional | $593.27 | $630.26 | $999.59 |