| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,189.74 | $3,195.83 | $4,181.97 | |
Aetna
| Professional | $926.63 | $926.63 | $3,195.83 | |
Cigna
| Facility | $578.13 | $594.60 | $1,863.63 | |
Cigna
| Professional | $811.64 | $811.64 | $811.64 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $676.37 | $777.83 | $1,230.99 | |
Regence BlueShield
| Professional | $676.37 | $704.91 | $844.31 | |
United
| Professional | $284.08 | $284.08 | $405.82 |