| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $368.04 | $508.68 | $563.98 | |
Cigna
| Facility | $425.22 | $427.13 | $427.13 | |
Cigna
| Professional | $311.80 | $427.13 | $439.94 | |
Moda Health
| Facility | $194.53 | $454.77 | $605.14 | |
Moda Health
| Professional | $544.63 | $574.88 | $605.14 | |
Molina
| Professional | $30.00 | $446.59 | $531.86 | |
Regence BlueShield
| Facility | $529.88 | $590.96 | $886.44 | |
Regence BlueShield
| Professional | $423.60 | $423.60 | $635.40 | |
United
| Professional | $278.58 | $301.32 | $468.94 |