| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $668.04 | $3,500.53 | $4,589.43 | |
Aetna
| Professional | $668.04 | $668.04 | $668.04 | |
Cigna
| Facility | $634.46 | $652.54 | $2,045.23 | |
Cigna
| Professional | $890.72 | $890.72 | $890.72 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $742.27 | $853.61 | $1,350.93 | |
Regence BlueShield
| Professional | $742.27 | $773.59 | $926.37 | |
United
| Professional | $311.75 | $311.75 | $445.36 |