| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.32 | $2,870.00 | $4,387.00 | |
Aetna
| Professional | $75.03 | $123.36 | $226.80 | |
Cigna
| Professional | $112.52 | $155.54 | $221.13 | |
Molina
| Professional | $75.93 | $100.72 | $133.49 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $105.90 | $161.96 | $229.42 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $122.10 | $152.30 | $228.06 |