| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $266.52 | $592.27 | $592.27 | |
Cigna
| Facility | $386.84 | $386.84 | $424.23 | |
Cigna
| Professional | $282.39 | $386.83 | $398.45 | |
Moda Health
| Facility | $199.39 | $476.45 | $676.39 | |
Moda Health
| Professional | $608.75 | $642.57 | $676.39 | |
Molina
| Professional | $30.00 | $505.32 | $608.75 | |
Regence BlueShield
| Facility | $592.27 | $660.54 | $990.81 | |
Regence BlueShield
| Professional | $473.47 | $490.41 | $710.21 | |
United
| Professional | $285.56 | $308.85 | $475.93 |