| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.62 | $664.95 | $677.14 | |
Cigna
| Facility | $636.97 | $636.97 | $636.97 | |
Cigna
| Professional | $464.99 | $464.99 | $679.05 | |
Moda Health
| Facility | $425.96 | $584.98 | $664.95 | |
Moda Health
| Professional | $526.48 | $555.73 | $595.98 | |
Molina
| Professional | $30.00 | $653.17 | $776.07 | |
Regence BlueShield
| Facility | $578.62 | $578.62 | $867.93 | |
Regence BlueShield
| Professional | $417.19 | $435.07 | $625.78 | |
United
| Professional | $461.69 | $481.81 | $769.49 |