| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.00 | $241.00 | $262.00 | |
Cigna
| Facility | $299.00 | $299.00 | $319.00 | |
Moda Health
| Facility | $350.00 | $350.00 | $450.00 | |
Regence BlueShield
| Facility | $192.00 | $680.20 | $716.00 |