| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.00 | $240.00 | $294.04 | |
Aetna
| Professional | $190.37 | $228.89 | $249.69 | |
Cigna
| Professional | $146.27 | $146.27 | $146.27 | |
Molina
| Professional | $30.00 | $94.37 | $229.41 | |
Regence BlueShield
| Facility | $230.97 | $296.17 | $431.61 | |
Regence BlueShield
| Professional | $183.38 | $240.69 | $278.58 | |
United
| Professional | $151.30 | $231.91 | $344.10 |