| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.36 | $669.15 | $3,230.15 | |
Aetna
| Professional | $314.18 | $314.18 | $450.36 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $593.60 | $740.17 | $1,062.61 |