| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $475.76 | $475.76 | $475.76 | |
Aetna
| Professional | $410.76 | $475.76 | $3,483.15 | |
Cigna
| Facility | $758.68 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $758.68 | $808.79 | |
Molina
| Professional | $60.00 | $277.22 | $360.81 | |
Regence BlueShield
| Facility | $494.90 | $494.90 | $669.31 | |
Regence BlueShield
| Professional | $356.82 | $443.47 | $710.31 | |
United
| Professional | $389.26 | $551.38 | $551.38 |