| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.57 | $296.57 | $296.57 | |
Aetna
| Professional | $296.57 | $471.23 | $2,656.81 | |
Cigna
| Facility | $632.51 | $632.51 | $632.51 | |
Cigna
| Professional | $461.73 | $632.51 | $741.71 | |
Molina
| Professional | $430.45 | $694.28 | $902.56 | |
Regence BlueShield
| Facility | $832.76 | $928.75 | $928.75 | |
Regence BlueShield
| Professional | $528.86 | $665.73 | $998.59 | |
United
| Professional | $359.70 | $459.39 | $552.50 |