| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,702.14 | $24,639.20 | $32,303.70 | |
Aetna
| Professional | $4,702.14 | $4,702.14 | $4,702.14 | |
Cigna
| Facility | $4,465.72 | $4,593.00 | $14,395.60 | |
Cigna
| Professional | $6,269.52 | $6,269.52 | $6,269.52 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $5,381.34 | $6,008.29 | $6,269.52 | |
Regence BlueShield
| Professional | $5,410.07 | $6,011.19 | $7,808.26 | |
United
| Professional | $2,194.33 | $2,194.33 | $3,134.76 |