| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $364.85 | $518.66 | $518.66 | |
Cigna
| Facility | $314.52 | $344.22 | $344.22 | |
Cigna
| Professional | $251.28 | $344.22 | $354.55 | |
Moda Health
| Facility | $161.51 | $434.61 | $617.00 | |
Moda Health
| Professional | $555.29 | $586.15 | $617.00 | |
Molina
| Professional | $30.00 | $455.34 | $542.29 | |
Regence BlueShield
| Facility | $540.27 | $602.54 | $903.81 | |
Regence BlueShield
| Professional | $431.90 | $431.90 | $647.85 | |
United
| Professional | $231.31 | $250.18 | $412.25 |