| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.89 | $361.19 | $468.65 | |
Cigna
| Facility | $335.70 | $336.03 | $336.03 | |
Cigna
| Professional | $245.30 | $245.30 | $582.10 | |
Moda Health
| Facility | $157.77 | $377.01 | $535.20 | |
Moda Health
| Professional | $481.68 | $508.44 | $535.20 | |
Molina
| Professional | $30.00 | $394.97 | $470.39 | |
Regence BlueShield
| Facility | $468.65 | $522.66 | $783.99 | |
Regence BlueShield
| Professional | $374.64 | $388.07 | $561.96 | |
United
| Professional | $225.96 | $244.39 | $387.60 |