| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.72 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $110.10 | $178.62 | $319.20 | |
Cigna
| Professional | $161.84 | $226.20 | $310.48 | |
Molina
| Professional | $126.32 | $156.93 | $199.70 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $151.29 | $232.84 | $317.69 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $170.92 | $213.65 | $318.36 |