| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.77 | $2,922.00 | $5,062.57 | |
Aetna
| Professional | $171.49 | $235.77 | $433.73 | |
Cigna
| Professional | $250.64 | $329.61 | $446.03 | |
Molina
| Professional | $180.47 | $216.98 | $271.71 | |
Regence BlueShield
| Facility | $2,327.64 | $3,074.05 | $4,479.78 | |
Regence BlueShield
| Professional | $250.55 | $338.04 | $434.68 | |
United
| Facility | $1,106.00 | $1,649.00 | $2,824.00 | |
United
| Professional | $234.61 | $291.95 | $417.50 |