| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.58 | $977.68 | $1,281.80 | |
Aetna
| Professional | $186.58 | $186.58 | $186.58 | |
Cigna
| Facility | $412.11 | $423.85 | $1,328.46 | |
Cigna
| Professional | $578.57 | $578.57 | $578.57 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $482.14 | $554.46 | $578.57 | |
Regence BlueShield
| Professional | $434.08 | $487.20 | $601.92 | |
United
| Professional | $87.07 | $124.39 | $289.27 |