| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.64 | $375.55 | $806.74 | |
Aetna
| Professional | $264.64 | $293.39 | $372.70 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 | |
Moda Health
| Facility | $293.39 | $302.20 | $375.55 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Facility | $501.78 | $705.32 | $864.17 |