| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.90 | $120.34 | $4,387.00 | |
Aetna
| Professional | $43.71 | $97.74 | $315.85 | |
Cigna
| Professional | $60.37 | $111.03 | $190.70 | |
Molina
| Professional | $91.72 | $115.00 | $148.82 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $53.51 | $94.68 | $183.87 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $93.83 | $122.50 | $174.99 |