| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.04 | $443.04 | $443.04 | |
Aetna
| Professional | $336.44 | $382.65 | $443.04 | |
Cigna
| Professional | $459.91 | $619.87 | $849.21 | |
Molina
| Professional | $30.00 | $45.00 | $80.00 | |
Regence BlueShield
| Facility | $437.82 | $595.13 | $867.27 | |
Regence BlueShield
| Professional | $430.61 | $544.76 | $681.25 | |
United
| Professional | $350.40 | $492.84 | $660.84 |