| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.77 | $1,408.41 | $1,846.52 | |
Aetna
| Professional | $268.77 | $268.77 | $268.77 | |
Cigna
| Facility | $206.77 | $212.66 | $666.54 | |
Cigna
| Professional | $129.34 | $288.70 | $442.73 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $241.90 | $278.19 | $1,088.52 | |
Regence BlueShield
| Professional | $244.44 | $290.07 | $330.85 | |
United
| Professional | $101.60 | $125.43 | $145.13 |