| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.57 | $123.57 | $123.57 | |
Aetna
| Professional | $123.57 | $143.15 | $1,209.47 | |
Cigna
| Facility | $252.01 | $252.01 | $252.01 | |
Cigna
| Professional | $183.97 | $252.01 | $268.64 | |
Molina
| Professional | $196.52 | $316.98 | $412.07 | |
Regence BlueShield
| Facility | $380.20 | $424.03 | $424.03 | |
Regence BlueShield
| Professional | $241.46 | $303.95 | $455.92 | |
United
| Professional | $147.06 | $189.71 | $230.21 |