| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $273.57 | $610.66 | $645.64 | |
Cigna
| Facility | $647.80 | $647.80 | $647.80 | |
Cigna
| Professional | $472.90 | $472.90 | $857.38 | |
Moda Health
| Facility | $406.36 | $558.05 | $623.34 | |
Moda Health
| Professional | $502.25 | $530.16 | $568.54 | |
Molina
| Professional | $30.00 | $610.51 | $737.27 | |
Regence BlueShield
| Facility | $551.99 | $551.99 | $827.99 | |
Regence BlueShield
| Professional | $397.99 | $415.04 | $596.98 | |
United
| Professional | $440.21 | $459.39 | $761.96 |