| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.44 | $103.44 | $103.44 | |
Aetna
| Professional | $91.33 | $449.29 | $728.28 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $2,814.80 | $3,509.81 | $5,038.84 | |
Regence BlueShield
| Professional | $114.64 | $277.89 | $878.60 | |
United
| Professional | $56.48 | $204.34 | $443.49 |