| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.58 | $367.58 | $367.58 | |
Aetna
| Professional | $367.58 | $515.28 | $4,390.52 | |
Cigna
| Facility | $713.15 | $713.15 | $713.15 | |
Cigna
| Professional | $520.60 | $713.14 | $760.25 | |
Molina
| Professional | $516.55 | $833.16 | $1,083.10 | |
Regence BlueShield
| Facility | $999.35 | $1,114.53 | $1,114.53 | |
Regence BlueShield
| Professional | $634.66 | $798.90 | $1,198.33 | |
United
| Professional | $445.81 | $569.38 | $729.03 |