| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $173.50 | $358.56 | $428.19 | |
Cigna
| Professional | $213.00 | $213.00 | $213.00 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Facility | $229.17 | $324.49 | $465.41 |