| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.33 | $554.33 | $554.33 | |
Aetna
| Professional | $408.34 | $464.50 | $554.33 | |
Cigna
| Professional | $543.26 | $732.19 | $1,003.08 | |
Molina
| Professional | $30.00 | $45.00 | $80.00 | |
Regence BlueShield
| Facility | $437.82 | $595.13 | $867.27 | |
Regence BlueShield
| Professional | $537.63 | $681.60 | $852.37 | |
United
| Professional | $387.85 | $540.59 | $822.01 |