| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $683.15 | $3,579.71 | $4,693.24 | |
Aetna
| Professional | $683.15 | $683.15 | $683.15 | |
Cigna
| Facility | $648.79 | $667.29 | $2,091.44 | |
Cigna
| Professional | $910.86 | $910.86 | $910.86 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $781.82 | $872.91 | $910.86 | |
Regence BlueShield
| Professional | $785.92 | $873.24 | $1,134.30 | |
United
| Professional | $318.80 | $318.80 | $455.43 |