| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.27 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $99.39 | $167.00 | $581.80 | |
Cigna
| Professional | $116.51 | $177.36 | $279.58 | |
Molina
| Professional | $117.80 | $151.15 | $186.27 | |
Regence BlueShield
| Facility | $1,050.47 | $1,326.87 | $1,910.81 | |
Regence BlueShield
| Professional | $164.94 | $272.32 | $427.50 | |
United
| Facility | $1,106.00 | $1,649.00 | $2,824.00 | |
United
| Professional | $140.10 | $172.79 | $294.50 |