| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.41 | $106.41 | $369.59 | |
Aetna
| Professional | $106.41 | $156.78 | $182.02 | |
Cigna
| Professional | $189.83 | $297.47 | $346.22 | |
Molina
| Professional | $30.00 | $45.00 | $80.00 | |
Regence BlueShield
| Facility | $437.82 | $588.99 | $867.27 | |
Regence BlueShield
| Professional | $130.86 | $163.63 | $221.00 | |
United
| Professional | $96.78 | $179.24 | $359.16 |