| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.28 | $3,038.00 | $4,626.00 | |
Aetna
| Professional | $589.55 | $805.28 | $1,338.85 | |
Cigna
| Professional | $798.23 | $1,027.94 | $1,373.90 | |
Molina
| Professional | $61.32 | $516.88 | $812.68 | |
Regence BlueShield
| Facility | $5,537.58 | $6,904.89 | $9,912.95 | |
Regence BlueShield
| Professional | $838.74 | $967.52 | $1,488.98 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 | |
United
| Professional | $725.29 | $900.36 | $1,339.00 |