| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.76 | $1,455.94 | $4,387.00 | |
Aetna
| Facility | 53 | $29.53 | $29.53 | $68.15 |
Aetna
| Professional | $93.44 | $236.37 | $897.60 | |
Cigna
| Professional | $118.77 | $250.67 | $441.38 | |
Molina
| Professional | $187.09 | $237.61 | $297.65 | |
Regence BlueShield
| Facility | $1,050.47 | $1,326.87 | $1,910.81 | |
Regence BlueShield
| Professional | $163.84 | $310.50 | $615.17 | |
United
| Facility | $1,106.00 | $1,649.00 | $2,824.00 | |
United
| Professional | $219.56 | $258.31 | $430.10 |