| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.98 | $777.94 | $777.94 | |
Cigna
| Facility | $579.51 | $579.51 | $911.46 | |
Cigna
| Professional | $423.04 | $423.04 | $596.90 | |
Moda Health
| Facility | $262.32 | $776.78 | $920.66 | |
Moda Health
| Professional | $799.59 | $844.01 | $888.43 | |
Molina
| Professional | $30.00 | $663.72 | $799.59 | |
Regence BlueShield
| Facility | $777.94 | $867.61 | $1,301.42 | |
Regence BlueShield
| Professional | $621.90 | $621.90 | $932.85 | |
United
| Professional | $375.69 | $406.33 | $644.44 |