| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $475.00 | $1,645.44 | $3,673.00 | |
Aetna
| Professional | $425.00 | $425.00 | $475.00 | |
Cigna
| Facility | $561.00 | $686.40 | $728.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $593.60 | $740.17 | $1,062.61 |