| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.31 | $3,038.00 | $4,626.00 | |
Aetna
| Professional | $132.29 | $196.21 | $359.50 | |
Cigna
| Professional | $181.11 | $259.33 | $369.37 | |
Molina
| Professional | $140.22 | $180.62 | $224.35 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $169.00 | $257.43 | $355.24 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $192.29 | $240.36 | $355.30 |