| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $413.50 | $790.78 | $918.89 | |
Cigna
| Facility | $658.20 | $731.38 | $731.38 | |
Cigna
| Professional | $533.91 | $533.91 | $857.66 | |
Moda Health
| Facility | $309.33 | $739.20 | $1,049.40 | |
Moda Health
| Professional | $944.46 | $996.93 | $1,049.40 | |
Molina
| Professional | $30.00 | $774.45 | $922.32 | |
Regence BlueShield
| Facility | $918.89 | $1,024.80 | $1,537.20 | |
Regence BlueShield
| Professional | $734.58 | $760.84 | $1,101.86 | |
United
| Professional | $443.03 | $479.17 | $759.96 |