| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.90 | $108.90 | $108.90 | |
Aetna
| Professional | $108.90 | $406.12 | $1,014.62 | |
Cigna
| Facility | $211.27 | $211.27 | $211.27 | |
Cigna
| Professional | $154.22 | $211.27 | $225.22 | |
Molina
| Professional | $35.00 | $60.00 | $340.11 | |
Regence BlueShield
| Facility | $335.01 | $373.63 | $373.63 | |
Regence BlueShield
| Professional | $212.75 | $267.82 | $401.73 | |
United
| Professional | $132.07 | $168.68 | $215.98 |