| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.83 | $543.83 | $543.83 | |
Aetna
| Professional | $478.94 | $543.83 | $4,104.97 | |
Cigna
| Facility | $854.15 | $854.15 | $854.15 | |
Cigna
| Professional | $623.53 | $854.15 | $910.56 | |
Molina
| Professional | $60.00 | $320.76 | $417.49 | |
Regence BlueShield
| Facility | $572.62 | $572.62 | $730.08 | |
Regence BlueShield
| Professional | $412.86 | $513.13 | $777.08 | |
United
| Professional | $420.18 | $630.26 | $642.71 |