| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.55 | $2,198.44 | $2,882.31 | |
Aetna
| Professional | $419.55 | $419.55 | $419.55 | |
Cigna
| Facility | $398.46 | $409.81 | $1,284.46 | |
Cigna
| Professional | $559.40 | $559.40 | $559.40 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $466.17 | $536.10 | $1,887.99 | |
Regence BlueShield
| Professional | $466.17 | $493.45 | $582.04 | |
United
| Professional | $195.79 | $195.79 | $279.70 |