| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.89 | $406.89 | $406.89 | |
Aetna
| Professional | $406.89 | $758.76 | $4,104.97 | |
Cigna
| Facility | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $661.77 | $906.54 | $966.42 | |
Molina
| Professional | $571.80 | $922.26 | $1,198.93 | |
Regence BlueShield
| Facility | $1,106.22 | $1,233.72 | $1,233.72 | |
Regence BlueShield
| Professional | $702.53 | $884.33 | $1,326.50 | |
United
| Professional | $493.49 | $630.26 | $740.23 |