| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.35 | $2,868.11 | $3,760.29 | |
Aetna
| Professional | $547.35 | $547.35 | $547.35 | |
Cigna
| Facility | $519.83 | $534.65 | $1,675.72 | |
Cigna
| Professional | $729.80 | $729.80 | $729.80 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $626.41 | $699.40 | $729.80 | |
Regence BlueShield
| Professional | $629.77 | $699.74 | $908.93 | |
United
| Professional | $255.43 | $255.43 | $364.90 |