| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,203.69 | $11,547.40 | $15,139.40 | |
Aetna
| Professional | $2,203.69 | $2,203.69 | $2,203.69 | |
Cigna
| Facility | $2,092.90 | $2,152.55 | $6,746.62 | |
Cigna
| Professional | $1,125.06 | $2,537.58 | $4,480.03 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $2,448.56 | $2,815.84 | $9,916.67 | |
Regence BlueShield
| Professional | $2,448.56 | $2,641.54 | $2,935.04 | |
United
| Professional | $1,028.40 | $1,028.40 | $1,469.14 |