| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $321.56 | $444.43 | $444.43 | |
Cigna
| Facility | $330.10 | $420.61 | $420.61 | |
Cigna
| Professional | $357.52 | $357.52 | $433.23 | |
Moda Health
| Facility | $152.43 | $394.97 | $528.70 | |
Moda Health
| Professional | $475.83 | $502.27 | $528.70 | |
Molina
| Professional | $30.00 | $390.18 | $464.68 | |
Regence BlueShield
| Professional | $370.09 | $370.09 | $555.14 | |
United
| Professional | $218.31 | $236.12 | $373.86 |