| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $1,584.89 | $3,388.44 | |
Aetna
| Professional | $707.95 | $851.14 | $1,122.02 | |
Cigna
| Professional | $602.56 | $602.56 | $602.56 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
Regence BlueShield
| Facility | $1,174.90 | $1,380.38 | $3,162.28 |