| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.16 | $309.16 | $309.16 | |
Aetna
| Professional | $309.16 | $358.15 | $3,025.98 | |
Cigna
| Facility | $695.41 | $695.41 | $695.41 | |
Cigna
| Professional | $507.65 | $695.41 | $741.34 | |
Molina
| Professional | $491.69 | $793.05 | $1,030.96 | |
Regence BlueShield
| Facility | $951.23 | $1,060.86 | $1,060.86 | |
Regence BlueShield
| Professional | $604.09 | $760.43 | $1,140.65 | |
United
| Professional | $374.97 | $478.89 | $562.45 |