| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.29 | $169.29 | $169.29 | |
Aetna
| Professional | $169.29 | $206.00 | $1,865.65 | |
Cigna
| Facility | $328.44 | $328.44 | $328.44 | |
Cigna
| Professional | $239.76 | $328.44 | $350.14 | |
Molina
| Professional | $237.90 | $383.72 | $498.83 | |
Regence BlueShield
| Facility | $460.25 | $513.29 | $513.29 | |
Regence BlueShield
| Professional | $292.29 | $367.93 | $551.90 | |
United
| Professional | $205.32 | $262.22 | $315.37 |