| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.27 | $284.27 | $284.27 | |
Aetna
| Professional | $284.27 | $443.59 | $2,782.49 | |
Cigna
| Facility | $551.53 | $551.53 | $551.53 | |
Cigna
| Professional | $402.62 | $551.53 | $568.08 | |
Molina
| Professional | $452.09 | $729.19 | $947.94 | |
Regence BlueShield
| Facility | $874.64 | $975.45 | $975.45 | |
Regence BlueShield
| Professional | $555.46 | $699.20 | $1,048.80 | |
United
| Professional | $344.78 | $440.35 | $448.06 |