| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.47 | $157.47 | $766.32 | |
Aetna
| Professional | $157.46 | $173.17 | $241.62 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $522.74 | $651.80 | $935.77 | |
Regence BlueShield
| Professional | $196.48 | $244.21 | $287.31 | |
United
| Professional | $151.77 | $230.11 | $334.85 |