| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.21 | $457.21 | $457.21 | |
Aetna
| Professional | $457.21 | $529.66 | $4,475.02 | |
Cigna
| Facility | $1,115.23 | $1,115.23 | $1,115.23 | |
Cigna
| Professional | $814.12 | $1,115.23 | $1,188.90 | |
Molina
| Professional | $727.15 | $1,172.83 | $1,524.67 | |
Regence BlueShield
| Facility | $1,406.76 | $1,568.91 | $1,568.91 | |
Regence BlueShield
| Professional | $893.39 | $1,124.58 | $1,686.89 | |
United
| Professional | $554.53 | $708.22 | $906.81 |