| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $389.16 | $864.79 | $864.79 | |
Cigna
| Facility | $619.46 | $710.11 | $710.11 | |
Cigna
| Professional | $518.38 | $518.38 | $1,074.14 | |
Moda Health
| Facility | $291.14 | $695.69 | $987.62 | |
Moda Health
| Professional | $888.86 | $938.24 | $987.62 | |
Molina
| Professional | $30.00 | $728.86 | $868.02 | |
Regence BlueShield
| Facility | $864.79 | $964.47 | $1,446.71 | |
Regence BlueShield
| Professional | $691.33 | $716.09 | $1,037.00 | |
United
| Professional | $416.96 | $450.97 | $694.93 |