| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.19 | $181.19 | $181.19 | |
Aetna
| Professional | $156.86 | $181.19 | $1,619.24 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $312.30 | $321.67 | |
Molina
| Professional | $60.00 | $105.01 | $136.68 | |
Regence BlueShield
| Facility | $187.47 | $187.47 | $245.25 | |
Regence BlueShield
| Professional | $135.16 | $167.99 | $288.99 | |
United
| Professional | $148.24 | $209.99 | $214.13 |