| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.22 | $334.81 | $1,801.45 | |
Aetna
| Professional | $262.22 | $262.22 | $262.22 | |
Cigna
| Facility | $249.03 | $256.13 | $802.78 | |
Cigna
| Professional | $133.88 | $301.79 | $533.19 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $291.36 | $335.06 | $1,180.01 | |
Regence BlueShield
| Professional | $291.36 | $314.22 | $349.13 | |
United
| Professional | $122.37 | $122.37 | $174.82 |