| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.56 | $135.56 | $135.56 | |
Aetna
| Professional | $135.56 | $191.65 | $1,619.24 | |
Cigna
| Facility | $295.70 | $295.70 | $295.70 | |
Cigna
| Professional | $215.87 | $295.70 | $304.58 | |
Molina
| Professional | $199.05 | $321.05 | $417.36 | |
Regence BlueShield
| Facility | $385.09 | $429.47 | $429.47 | |
Regence BlueShield
| Professional | $244.56 | $307.85 | $461.77 | |
United
| Facility | $174.99 | $209.99 | $238.12 | |
United
| Professional | $161.33 | $208.12 | $252.55 |