| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.97 | $780.60 | $1,023.42 | |
Aetna
| Professional | $148.97 | $148.97 | $148.97 | |
Cigna
| Facility | $130.94 | $169.87 | $547.59 | |
Cigna
| Professional | $238.49 | $238.49 | $238.49 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $148.96 | $228.55 | $670.36 | |
Regence BlueShield
| Professional | $157.69 | $183.36 | $228.65 | |
United
| Professional | $62.56 | $69.52 | $89.38 |