| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.24 | $266.24 | $266.24 | |
Aetna
| Professional | $266.24 | $308.42 | $2,605.80 | |
Cigna
| Facility | $576.88 | $576.88 | $576.88 | |
Cigna
| Professional | $421.12 | $576.88 | $614.98 | |
Molina
| Professional | $423.42 | $682.94 | $887.82 | |
Regence BlueShield
| Facility | $819.15 | $913.57 | $913.57 | |
Regence BlueShield
| Professional | $520.21 | $654.85 | $982.28 | |
United
| Professional | $316.83 | $408.71 | $495.97 |