| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $120.23 | $120.23 | |
Aetna
| Professional | $120.23 | $139.28 | $1,176.75 | |
Cigna
| Facility | $233.26 | $233.26 | $233.26 | |
Cigna
| Professional | $170.28 | $170.28 | $484.50 | |
Molina
| Professional | $191.20 | $308.39 | $400.90 | |
Regence BlueShield
| Facility | $369.91 | $412.54 | $412.54 | |
Regence BlueShield
| Professional | $234.92 | $295.70 | $443.56 | |
United
| Professional | $145.82 | $186.23 | $305.89 |