| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.55 | $324.83 | $3,977.00 | |
Aetna
| Professional | $86.88 | $171.91 | $601.00 | |
Cigna
| Professional | $130.38 | $181.58 | $263.54 | |
Molina
| Professional | $101.09 | $141.00 | $196.99 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $122.14 | $195.09 | $266.31 | |
United
| Facility | $658.00 | $4,445.00 | $4,912.00 | |
United
| Professional | $136.76 | $180.01 | $267.74 |