| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.64 | $99.33 | $4,387.00 | |
Aetna
| Professional | $28.91 | $70.28 | $198.93 | |
Cigna
| Professional | $44.61 | $79.84 | $159.61 | |
Molina
| Professional | $69.23 | $86.05 | $110.94 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $40.96 | $71.12 | $148.84 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $76.70 | $105.19 | $149.50 |