| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.44 | $1,286.10 | $1,686.17 | |
Aetna
| Professional | $245.44 | $245.44 | $245.44 | |
Cigna
| Facility | $235.36 | $242.07 | $758.70 | |
Cigna
| Professional | $330.42 | $330.42 | $330.42 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $275.35 | $316.64 | $330.42 | |
Regence BlueShield
| Professional | $250.42 | $285.07 | $382.11 | |
United
| Professional | $115.65 | $115.65 | $165.21 |