| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.17 | $158.91 | $4,387.00 | |
Aetna
| Professional | $81.73 | $146.87 | $278.72 | |
Cigna
| Professional | $112.42 | $180.05 | $282.85 | |
Molina
| Professional | $140.22 | $172.11 | $220.60 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $105.17 | $183.02 | $282.41 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $150.93 | $186.51 | $310.93 |