| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.74 | $93.74 | $93.74 | |
Aetna
| Professional | $93.74 | $129.97 | $1,119.63 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $181.86 | $187.32 | |
Molina
| Professional | $131.73 | $212.47 | $276.21 | |
Regence BlueShield
| Facility | $254.85 | $284.22 | $284.22 | |
Regence BlueShield
| Professional | $161.85 | $203.73 | $305.58 | |
United
| Facility | $121.00 | $145.19 | $189.98 | |
United
| Professional | $113.69 | $145.19 | $185.91 |