| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.33 | $824.41 | $1,080.85 | |
Aetna
| Professional | $157.33 | $157.33 | $157.33 | |
Cigna
| Facility | $149.41 | $153.68 | $481.68 | |
Cigna
| Professional | $209.77 | $209.77 | $209.77 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $174.81 | $201.03 | $707.98 | |
Regence BlueShield
| Professional | $174.81 | $185.06 | $218.27 | |
United
| Professional | $73.42 | $73.42 | $104.89 |