| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.53 | $403.53 | $403.53 | |
Aetna
| Professional | $325.05 | $586.95 | $2,656.81 | |
Cigna
| Facility | $621.29 | $647.80 | $647.80 | |
Cigna
| Professional | $472.90 | $472.90 | $713.63 | |
Molina
| Professional | $60.00 | $373.55 | $518.82 | |
Regence BlueShield
| Facility | $551.99 | $551.99 | $640.29 | |
Regence BlueShield
| Professional | $397.99 | $397.99 | $857.38 | |
United
| Professional | $330.16 | $459.39 | $733.69 |