| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.77 | $157.77 | $157.77 | |
Aetna
| Professional | $157.77 | $294.22 | $1,544.22 | |
Cigna
| Facility | $321.89 | $336.03 | $336.03 | |
Cigna
| Professional | $245.30 | $245.30 | $705.54 | |
Molina
| Professional | $250.92 | $404.71 | $526.12 | |
Regence BlueShield
| Facility | $485.44 | $541.39 | $541.39 | |
Regence BlueShield
| Professional | $308.29 | $388.07 | $582.10 | |
United
| Professional | $191.35 | $244.39 | $287.02 |