| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.61 | $210.61 | $210.61 | |
Aetna
| Professional | $210.61 | $297.75 | $2,515.58 | |
Cigna
| Facility | $408.60 | $408.60 | $408.60 | |
Cigna
| Professional | $298.27 | $408.60 | $435.59 | |
Molina
| Professional | $298.39 | $481.28 | $625.66 | |
Regence BlueShield
| Facility | $577.28 | $643.82 | $643.82 | |
Regence BlueShield
| Professional | $366.61 | $461.49 | $692.23 | |
United
| Professional | $250.64 | $323.32 | $392.35 |