| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.11 | $274.27 | $4,291.00 | |
Aetna
| Professional | $97.80 | $172.85 | $399.17 | |
Cigna
| Professional | $142.97 | $199.85 | $279.00 | |
Molina
| Professional | $103.95 | $143.13 | $194.03 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $133.94 | $206.14 | $283.68 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $153.60 | $191.52 | $285.60 |