| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.98 | $120.56 | $4,387.00 | |
Aetna
| Professional | $39.31 | $86.86 | $244.78 | |
Cigna
| Professional | $53.09 | $97.69 | $179.94 | |
Molina
| Professional | $91.72 | $115.00 | $148.82 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $49.82 | $86.11 | $171.21 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $89.18 | $115.15 | $164.49 |