| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $728.92 | $1,025.91 | $3,549.08 | |
Aetna
| Professional | $507.78 | $507.78 | $1,067.16 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 | |
Molina
| Professional | $30.00 | $45.00 | $45.00 | |
Regence BlueShield
| Facility | $1,183.54 | $1,518.13 | $2,212.35 |