| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.19 | $2,910.00 | $5,743.00 | |
Aetna
| Professional | $80.69 | $141.88 | $444.86 | |
Cigna
| Professional | $97.92 | $153.19 | $244.74 | |
Molina
| Professional | $94.71 | $122.33 | $150.06 | |
Regence BlueShield
| Facility | $1,235.82 | $1,728.22 | $2,518.51 | |
Regence BlueShield
| Professional | $130.63 | $226.83 | $397.22 | |
United
| Facility | $1,106.00 | $1,649.00 | $2,824.00 | |
United
| Professional | $124.04 | $163.91 | $251.93 |