| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.39 | $285.39 | $285.39 | |
Aetna
| Professional | $244.15 | $285.39 | $304.08 | |
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 | $309.20 | $343.55 | $357.95 | |
United
| Professional | $259.24 | $323.36 | $564.48 |