| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.18 | $1,204.44 | $4,387.00 | |
Aetna
| Professional | $166.60 | $302.74 | $1,018.21 | |
Cigna
| Professional | $284.68 | $421.44 | $606.21 | |
Molina
| Professional | $27.49 | $266.85 | $353.76 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $266.05 | $426.63 | $588.59 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $312.66 | $399.43 | $644.39 |