| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.54 | $713.70 | $713.70 | |
Aetna
| Professional | $322.27 | $462.23 | $599.75 | |
Cigna
| Facility | $460.00 | $460.00 | $512.97 | |
Cigna
| Professional | $335.80 | $460.00 | $490.38 | |
Moda Health
| Facility | $220.60 | $482.47 | $684.93 | |
Moda Health
| Professional | $616.44 | $650.67 | $684.93 | |
Molina
| Professional | $30.00 | $505.48 | $601.99 | |
Regence BlueShield
| Facility | $599.75 | $668.88 | $1,003.32 | |
Regence BlueShield
| Professional | $479.45 | $479.45 | $719.18 | |
United
| Professional | $315.94 | $341.71 | $526.55 |