| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.93 | $127.82 | $4,387.00 | |
Aetna
| Professional | $61.17 | $115.99 | $336.81 | |
Cigna
| Professional | $87.63 | $144.01 | $242.30 | |
Molina
| Professional | $93.03 | $119.29 | $148.82 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $81.18 | $146.47 | $242.99 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $122.73 | $159.94 | $225.49 |