| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.45 | $1,228.52 | $1,610.67 | |
Aetna
| Professional | $234.45 | $234.45 | $234.45 | |
Cigna
| Facility | $222.67 | $229.02 | $717.79 | |
Cigna
| Professional | $312.60 | $312.60 | $312.60 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $268.32 | $299.58 | $312.60 | |
Regence BlueShield
| Professional | $269.89 | $299.89 | $389.54 | |
United
| Professional | $109.41 | $109.41 | $260.50 |