| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.22 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $105.77 | $173.65 | $315.68 | |
Cigna
| Professional | $154.75 | $227.95 | $324.68 | |
Molina
| Professional | $128.48 | $157.07 | $201.45 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $144.28 | $222.39 | $313.42 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $166.32 | $207.71 | $314.20 |