| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.42 | $2,842.33 | $3,726.49 | |
Aetna
| Professional | $542.42 | $542.42 | $542.42 | |
Cigna
| Facility | $515.16 | $529.85 | $1,660.67 | |
Cigna
| Professional | $723.24 | $723.24 | $723.24 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $602.70 | $693.11 | $723.24 | |
Regence BlueShield
| Professional | $602.70 | $693.61 | $900.97 | |
United
| Professional | $253.13 | $253.13 | $361.62 |