| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.04 | $311.04 | $311.04 | |
Aetna
| Professional | $311.04 | $485.35 | $3,044.44 | |
Cigna
| Facility | $702.03 | $702.03 | $702.03 | |
Cigna
| Professional | $512.48 | $702.03 | $748.40 | |
Molina
| Professional | $494.69 | $797.89 | $1,037.25 | |
Regence BlueShield
| Facility | $957.03 | $1,067.33 | $1,067.33 | |
Regence BlueShield
| Professional | $607.78 | $765.07 | $1,147.60 | |
United
| Professional | $370.17 | $481.81 | $490.25 |