| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.34 | $109.74 | $4,387.00 | |
Aetna
| Professional | $52.90 | $109.26 | $368.42 | |
Cigna
| Professional | $73.89 | $124.52 | $213.08 | |
Molina
| Professional | $93.03 | $115.00 | $148.82 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $68.63 | $118.46 | $171.99 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $105.40 | $136.50 | $195.00 |