| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.51 | $130.51 | $130.51 | |
Aetna
| Professional | $130.51 | $184.51 | $1,558.86 | |
Cigna
| Facility | $253.20 | $253.20 | $253.20 | |
Cigna
| Professional | $184.84 | $253.20 | $260.80 | |
Molina
| Professional | $183.40 | $295.82 | $384.56 | |
Regence BlueShield
| Facility | $354.82 | $395.72 | $395.72 | |
Regence BlueShield
| Professional | $225.34 | $283.64 | $425.48 | |
United
| Professional | $158.29 | $202.16 | $258.83 |