| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.50 | $190.50 | $190.50 | |
Aetna
| Professional | $164.48 | $267.22 | $1,394.77 | |
Cigna
| Facility | $301.51 | $301.51 | $301.51 | |
Cigna
| Professional | $220.10 | $301.51 | $321.43 | |
Molina
| Professional | $60.00 | $111.01 | $144.48 | |
Regence BlueShield
| Facility | $198.17 | $198.17 | $268.00 | |
Regence BlueShield
| Professional | $142.88 | $177.58 | $284.42 | |
United
| Professional | $155.86 | $220.78 | $225.13 |