| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.34 | $115.78 | $4,387.00 | |
Aetna
| Professional | $54.13 | $114.10 | $614.00 | |
Cigna
| Professional | $72.65 | $131.88 | $215.99 | |
Molina
| Professional | $93.03 | $115.19 | $148.82 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $68.27 | $121.37 | $217.72 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $111.18 | $143.15 | $234.28 |