| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.17 | $428.74 | $498.15 | |
Cigna
| Facility | $325.37 | $325.37 | $356.82 | |
Cigna
| Professional | $237.52 | $237.52 | $346.86 | |
Moda Health
| Facility | $167.71 | $407.74 | $568.90 | |
Moda Health
| Professional | $512.01 | $540.46 | $568.90 | |
Molina
| Professional | $30.00 | $419.84 | $500.01 | |
Regence BlueShield
| Facility | $498.15 | $555.57 | $833.36 | |
Regence BlueShield
| Professional | $398.23 | $412.50 | $597.35 | |
United
| Professional | $240.19 | $259.77 | $400.31 |