| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.62 | $997.10 | $3,307.48 | |
Aetna
| Professional | $997.10 | $1,145.06 | $1,145.06 | |
Cigna
| Professional | $520.86 | $520.86 | $520.86 | |
Molina
| Professional | $30.00 | $45.00 | $45.00 | |
Regence BlueShield
| Facility | $1,183.54 | $1,518.13 | $2,212.35 |