| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.31 | $258.31 | $258.31 | |
Aetna
| Professional | $239.00 | $365.18 | $3,085.35 | |
Cigna
| Facility | $501.14 | $501.14 | $501.14 | |
Cigna
| Professional | $365.83 | $501.14 | $534.24 | |
Molina
| Professional | $363.00 | $585.49 | $761.13 | |
Regence BlueShield
| Facility | $702.27 | $783.22 | $783.22 | |
Regence BlueShield
| Professional | $445.99 | $561.41 | $842.11 | |
United
| Professional | $313.29 | $400.12 | $469.93 |