| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.29 | $222.29 | $222.29 | |
Aetna
| Professional | $193.59 | $222.29 | $1,962.56 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $382.03 | $393.49 | |
Molina
| Professional | $60.00 | $133.81 | $174.16 | |
Regence BlueShield
| Facility | $238.87 | $238.87 | $302.02 | |
Regence BlueShield
| Professional | $172.23 | $214.05 | $354.47 | |
United
| Professional | $181.88 | $257.63 | $404.17 |