| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.84 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $102.19 | $176.81 | $429.18 | |
Cigna
| Professional | $144.16 | $212.56 | $302.76 | |
Molina
| Professional | $103.95 | $143.16 | $194.07 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $135.05 | $205.37 | $291.05 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $156.13 | $196.20 | $295.47 |