| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.02 | $665.94 | $4,387.00 | |
Aetna
| Professional | $69.75 | $134.75 | $462.69 | |
Cigna
| Professional | $102.15 | $142.31 | $218.58 | |
Molina
| Professional | $75.93 | $100.72 | $133.49 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $96.68 | $158.59 | $218.07 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $117.18 | $148.68 | $239.54 |