| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.68 | $179.58 | $4,387.00 | |
Aetna
| Professional | $125.10 | $179.58 | $279.32 | |
Cigna
| Professional | $132.66 | $170.22 | $237.74 | |
Molina
| Professional | $74.89 | $100.12 | $131.97 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $147.08 | $190.59 | $220.37 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $131.66 | $191.52 | $296.05 |