| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $407.38 | |
Aetna
| Professional | $85.11 | $125.89 | $302.00 | |
BCBS
| Facility | $158.49 | $316.23 | $575.44 | |
BCBS
| Professional | $158.49 | $158.49 | $158.49 | |
Cigna
| Facility | $123.03 | $323.59 | $616.60 | |
Moda Health
| Facility | $158.49 | $158.49 | $309.03 | |
Moda Health
| Professional | $147.91 | $165.96 | $186.21 | |
Molina
| Professional | $30.20 | $30.20 | $77.62 | |
Regence BlueShield
| Facility | $234.42 | $295.12 | $562.34 | |
Regence BlueShield
| Professional | $131.83 | $131.83 | $165.96 | |
Select Health
| Professional | $158.49 | $158.49 | $158.49 | |
United
| Professional | $66.07 | $66.07 | $158.49 |