| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.12 | $2,819.75 | $3,696.88 | |
Aetna
| Professional | $538.12 | $538.12 | $538.12 | |
Cigna
| Facility | $511.06 | $525.63 | $1,647.44 | |
Cigna
| Professional | $717.49 | $717.49 | $717.49 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $597.91 | $687.60 | $2,421.54 | |
Regence BlueShield
| Professional | $587.99 | $623.16 | $746.17 | |
United
| Professional | $251.12 | $251.12 | $358.75 |