| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.23 | $1,100.23 | $1,645.44 | |
Aetna
| Professional | $870.31 | $1,100.23 | $1,188.21 | |
Cigna
| Facility | $561.00 | $686.40 | $728.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $1,387.73 | $1,920.01 | $2,756.45 | |
Regence BlueShield
| Professional | $388.13 | $431.26 | $449.44 | |
United
| Professional | $382.23 | $406.01 | $675.01 |