| 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 | $299.00 | |
Moda Health
| Facility | $450.00 | $450.00 | $450.00 | |
Regence BlueShield
| Facility | $290.00 | $290.00 | $290.00 |