| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.78 | $218.78 | $218.78 | |
Cigna
| Facility | $389.05 | $575.44 | $602.56 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Regence BlueShield
| Facility | $2,570.40 | $2,570.40 | $2,754.23 | |
Select Health
| Professional | $269.15 | $275.42 | $338.84 |