| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.66 | $210.66 | $210.66 | |
Aetna
| Professional | $210.66 | $297.83 | $2,516.31 | |
Cigna
| Facility | $408.71 | $408.71 | $408.71 | |
Cigna
| Professional | $298.36 | $408.71 | $420.97 | |
Molina
| Professional | $301.79 | $486.76 | $632.78 | |
Regence BlueShield
| Facility | $583.85 | $651.14 | $651.14 | |
Regence BlueShield
| Professional | $370.79 | $466.74 | $700.11 | |
United
| Professional | $255.50 | $326.32 | $332.04 |