| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.15 | $120.15 | $120.15 | |
Aetna
| Professional | $120.15 | $169.86 | $1,435.16 | |
Cigna
| Facility | $291.02 | $291.02 | $291.02 | |
Cigna
| Professional | $212.45 | $291.02 | $310.26 | |
Molina
| Professional | $168.85 | $272.33 | $354.04 | |
Regence BlueShield
| Facility | $326.67 | $364.32 | $364.32 | |
Regence BlueShield
| Professional | $207.45 | $261.14 | $391.71 | |
United
| Facility | $155.10 | $186.11 | $211.05 | |
United
| Professional | $145.72 | $186.11 | $229.44 |