| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.93 | $176.03 | $228.40 | |
Cigna
| Facility | $190.78 | $190.78 | $190.89 | |
Cigna
| Professional | $139.27 | $190.78 | $203.38 | |
Moda Health
| Facility | $84.01 | $203.36 | $293.93 | |
Moda Health
| Professional | $234.76 | $247.80 | $260.83 | |
Molina
| Professional | $30.00 | $192.50 | $229.26 | |
Regence BlueShield
| Facility | $228.40 | $254.73 | $382.10 | |
Regence BlueShield
| Professional | $182.59 | $190.41 | $273.88 | |
United
| Professional | $120.31 | $130.13 | $202.13 |