| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.84 | $432.84 | $432.84 | |
Aetna
| Professional | $432.84 | $501.43 | $4,236.45 | |
Cigna
| Facility | $1,038.85 | $1,038.85 | $1,038.85 | |
Cigna
| Professional | $758.37 | $1,038.85 | $1,107.48 | |
Molina
| Professional | $688.37 | $1,110.29 | $1,443.37 | |
Regence BlueShield
| Facility | $1,331.74 | $1,485.24 | $1,485.24 | |
Regence BlueShield
| Professional | $845.75 | $1,064.61 | $1,596.93 | |
United
| Professional | $515.11 | $670.46 | $787.45 |