| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $282.82 | $390.89 | $406.82 | |
Cigna
| Facility | $306.16 | $306.16 | $306.74 | |
Cigna
| Professional | $223.50 | $306.16 | $326.39 | |
Moda Health
| Facility | $128.19 | $349.10 | $465.01 | |
Moda Health
| Professional | $418.51 | $441.76 | $465.01 | |
Molina
| Professional | $30.00 | $343.17 | $408.70 | |
Regence BlueShield
| Facility | $407.18 | $454.11 | $681.17 | |
Regence BlueShield
| Professional | $325.51 | $325.51 | $488.26 | |
United
| Professional | $183.61 | $198.59 | $314.95 |