| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.11 | $478.11 | $478.11 | |
Aetna
| Professional | $478.11 | $478.11 | $3,650.06 | |
Cigna
| Facility | $723.52 | $723.52 | $723.52 | |
Cigna
| Professional | $528.16 | $723.52 | $745.23 | |
Molina
| Professional | $593.10 | $956.62 | $1,243.60 | |
Regence BlueShield
| Facility | $1,147.42 | $1,279.68 | $1,279.68 | |
Regence BlueShield
| Professional | $728.69 | $917.27 | $1,375.91 | |
United
| Professional | $452.30 | $577.66 | $694.73 |