| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.16 | $183.16 | $183.16 | |
Aetna
| Professional | $178.74 | $183.16 | $189.78 | |
Cigna
| Facility | $161.40 | $161.40 | $187.57 | |
Cigna
| Professional | $187.57 | $187.57 | $187.57 | |
Molina
| Professional | $30.00 | $30.00 | $75.00 | |
Regence BlueShield
| Facility | $224.06 | $297.37 | $401.10 | |
Regence BlueShield
| Professional | $138.31 | $143.84 | $171.50 |