| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.83 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $134.78 | $188.59 | $374.02 | |
Cigna
| Professional | $198.24 | $269.97 | $363.76 | |
Molina
| Professional | $151.86 | $186.41 | $232.89 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $184.50 | $271.95 | $374.96 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $202.13 | $250.92 | $375.58 |