| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.71 | $770.28 | $4,387.00 | |
Aetna
| Professional | $110.14 | $183.72 | $459.20 | |
Cigna
| Professional | $160.58 | $225.06 | $305.02 | |
Molina
| Professional | $126.32 | $156.93 | $199.70 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $150.55 | $228.78 | $312.44 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $168.03 | $209.52 | $313.17 |