| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.85 | $172.85 | $172.85 | |
Aetna
| Professional | $172.85 | $244.36 | $2,064.55 | |
Cigna
| Facility | $335.34 | $335.34 | $335.34 | |
Cigna
| Professional | $244.80 | $335.34 | $345.40 | |
Molina
| Professional | $268.75 | $433.47 | $563.51 | |
Regence BlueShield
| Facility | $519.92 | $579.85 | $579.85 | |
Regence BlueShield
| Professional | $330.20 | $415.64 | $623.46 | |
United
| Professional | $205.70 | $267.73 | $342.81 |