| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $179.74 | $179.74 | $179.74 | |
Aetna
| Professional | $179.74 | $254.10 | $2,146.85 | |
Cigna
| Facility | $419.04 | $419.04 | $419.04 | |
Cigna
| Professional | $305.89 | $419.04 | $446.71 | |
Molina
| Professional | $262.27 | $423.02 | $549.92 | |
Regence BlueShield
| Facility | $507.40 | $565.88 | $565.88 | |
Regence BlueShield
| Professional | $322.23 | $405.62 | $608.42 | |
United
| Professional | $218.00 | $275.93 | $326.99 |