| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,485.70 | $18,265.09 | $23,946.80 | |
Aetna
| Professional | $3,485.70 | $3,485.70 | $3,485.70 | |
Cigna
| Facility | $3,310.45 | $3,404.80 | $10,671.47 | |
Cigna
| Professional | $4,647.60 | $4,647.60 | $4,647.60 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $3,989.19 | $4,453.95 | $4,647.60 | |
Regence BlueShield
| Professional | $4,010.58 | $4,456.20 | $5,788.41 | |
United
| Professional | $1,626.66 | $1,626.66 | $2,323.80 |