| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.98 | $2,833.00 | $4,387.00 | |
Aetna
| Professional | $68.42 | $115.99 | $233.23 | |
Cigna
| Professional | $101.76 | $141.77 | $207.75 | |
Molina
| Professional | $75.93 | $100.72 | $133.49 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $96.31 | $152.40 | $213.92 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $114.33 | $141.84 | $215.89 |