| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.16 | $258.16 | $258.16 | |
Aetna
| Professional | $200.93 | $241.29 | $293.27 | |
Cigna
| Professional | $233.50 | $311.54 | $432.97 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $230.97 | $296.17 | $431.61 | |
Regence BlueShield
| Professional | $255.41 | $300.48 | $476.36 | |
United
| Professional | $198.43 | $251.61 | $372.01 |