| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $424.49 | $943.30 | $943.30 | |
Cigna
| Facility | $616.27 | $616.27 | $616.27 | |
Cigna
| Professional | $449.88 | $616.27 | $656.98 | |
Moda Health
| Facility | $722.35 | $943.30 | $1,077.28 | |
Moda Health
| Professional | $969.55 | $1,023.42 | $1,077.28 | |
Molina
| Professional | $30.00 | $795.03 | $946.83 | |
Regence BlueShield
| Facility | $943.30 | $1,052.03 | $1,578.05 | |
Regence BlueShield
| Professional | $754.10 | $782.68 | $1,131.14 | |
United
| Professional | $468.21 | $492.02 | $780.35 |