| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $481.80 | $665.91 | $665.91 | |
Cigna
| Facility | $525.23 | $525.23 | $525.23 | |
Cigna
| Professional | $383.42 | $383.42 | $559.92 | |
Moda Health
| Facility | $245.20 | $595.33 | $792.18 | |
Moda Health
| Professional | $712.96 | $752.57 | $792.18 | |
Molina
| Professional | $30.00 | $584.62 | $696.25 | |
Regence BlueShield
| Facility | $693.66 | $773.61 | $1,160.42 | |
Regence BlueShield
| Professional | $554.53 | $574.40 | $831.79 | |
United
| Professional | $334.44 | $361.72 | $595.33 |