| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.80 | $695.09 | $4,387.00 | |
Aetna
| Professional | $305.99 | $646.82 | $1,124.79 | |
Cigna
| Professional | $416.59 | $623.72 | $996.73 | |
Molina
| Professional | $489.17 | $599.04 | $742.05 | |
Regence BlueShield
| Facility | $873.66 | $1,190.82 | $1,735.36 | |
Regence BlueShield
| Professional | $388.19 | $712.68 | $1,007.20 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $546.84 | $701.15 | $1,111.56 |