| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.00 | $3,537.00 | $4,637.25 | |
Aetna
| Professional | $495.00 | $592.50 | $862.50 | |
Cigna
| Facility | $641.05 | $659.33 | $2,066.51 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $750.00 | $862.50 | $900.00 | |
Regence BlueShield
| Professional | $574.09 | $586.77 | $637.88 | |
United
| Professional | $315.00 | $315.00 | $450.00 |