| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.86 | $827.19 | $1,084.50 | |
Aetna
| Professional | $157.86 | $157.86 | $157.86 | |
Cigna
| Facility | $149.91 | $154.19 | $483.29 | |
Cigna
| Professional | $80.65 | $187.87 | $321.11 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $175.40 | $201.71 | $210.48 | |
Regence BlueShield
| Professional | $157.91 | $177.24 | $210.27 | |
United
| Professional | $73.67 | $73.67 | $105.24 |