| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.11 | $159.11 | $159.11 | |
Aetna
| Professional | $159.11 | $224.93 | $1,900.41 | |
Cigna
| Facility | $387.54 | $387.54 | $387.54 | |
Cigna
| Professional | $282.89 | $387.54 | $399.17 | |
Molina
| Professional | $248.56 | $400.91 | $521.18 | |
Regence BlueShield
| Facility | $480.87 | $536.29 | $536.29 | |
Regence BlueShield
| Professional | $305.39 | $384.42 | $576.63 | |
United
| Professional | $189.35 | $244.25 | $303.82 |