| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.93 | $911.39 | $1,194.90 | |
Aetna
| Professional | $173.93 | $173.93 | $173.93 | |
Cigna
| Facility | $165.18 | $169.88 | $532.46 | |
Cigna
| Professional | $88.82 | $206.92 | $353.47 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $193.25 | $222.24 | $231.90 | |
Regence BlueShield
| Professional | $173.98 | $195.29 | $231.82 | |
United
| Professional | $81.17 | $81.17 | $115.95 |