| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.46 | $301.02 | $301.02 | |
Cigna
| Facility | $212.98 | $212.98 | $215.63 | |
Cigna
| Professional | $155.47 | $155.47 | $227.05 | |
Moda Health
| Facility | $101.34 | $242.15 | $343.78 | |
Moda Health
| Professional | $309.39 | $326.58 | $343.78 | |
Molina
| Professional | $30.00 | $256.83 | $309.39 | |
Regence BlueShield
| Facility | $301.02 | $335.72 | $503.58 | |
Regence BlueShield
| Professional | $240.65 | $249.23 | $360.97 | |
United
| Professional | $145.13 | $156.97 | $240.21 |