| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $163.79 | $338.50 | $406.83 | |
Cigna
| Professional | $339.00 | $339.00 | $339.00 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Facility | $245.39 | $336.57 | $989.80 |