| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.53 | $2,870.00 | $4,387.00 | |
Aetna
| Professional | $176.15 | $228.65 | $372.00 | |
Cigna
| Professional | $211.97 | $271.99 | $413.17 | |
Molina
| Professional | $124.55 | $156.39 | $201.45 | |
Regence BlueShield
| Facility | $2,814.80 | $3,509.81 | $5,038.84 | |
Regence BlueShield
| Professional | $231.56 | $288.67 | $345.46 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 | |
United
| Professional | $206.91 | $225.72 | $465.20 |