| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.76 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $137.51 | $208.29 | $410.05 | |
Cigna
| Professional | $198.95 | $269.23 | $361.94 | |
Molina
| Professional | $131.45 | $172.11 | $226.42 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $188.19 | $270.48 | $374.28 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $200.37 | $250.46 | $375.58 |