| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.39 | $199.39 | $199.39 | |
Aetna
| Professional | $199.39 | $230.99 | $1,951.56 | |
Cigna
| Facility | $386.84 | $386.84 | $386.84 | |
Cigna
| Professional | $282.39 | $386.83 | $398.45 | |
Molina
| Professional | $317.09 | $511.45 | $664.88 | |
Regence BlueShield
| Facility | $613.46 | $684.17 | $684.17 | |
Regence BlueShield
| Professional | $389.59 | $490.41 | $735.62 | |
United
| Professional | $237.29 | $308.85 | $362.74 |