| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.31 | $741.75 | $770.28 | |
Aetna
| Professional | $20.56 | $159.31 | $397.98 | |
Cigna
| Professional | $24.87 | $374.96 | $627.80 | |
Molina
| Professional | $221.00 | $288.20 | $362.15 | |
Regence BlueShield
| Facility | $571.79 | $756.04 | $1,101.77 | |
Regence BlueShield
| Professional | $24.10 | $69.97 | $467.99 | |
United
| Professional | $148.26 | $313.07 | $342.85 |