| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.18 | $367.06 | $367.06 | |
Cigna
| Facility | $252.01 | $252.01 | $262.93 | |
Cigna
| Professional | $183.97 | $252.01 | $268.64 | |
Moda Health
| Facility | $123.57 | $295.27 | $419.18 | |
Moda Health
| Professional | $377.26 | $398.22 | $419.18 | |
Molina
| Professional | $302.10 | $309.35 | $377.26 | |
Regence BlueShield
| Facility | $367.06 | $409.36 | $614.04 | |
Regence BlueShield
| Professional | $293.43 | $303.95 | $440.14 | |
United
| Professional | $176.98 | $191.41 | $303.58 |