| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.26 | $232.26 | $232.26 | |
Aetna
| Professional | $232.26 | $351.00 | $2,604.13 | |
Cigna
| Facility | $488.53 | $488.53 | $488.53 | |
Cigna
| Professional | $356.63 | $488.53 | $697.57 | |
Molina
| Professional | $337.03 | $543.61 | $706.69 | |
Regence BlueShield
| Facility | $652.03 | $727.19 | $727.19 | |
Regence BlueShield
| Professional | $414.09 | $521.25 | $781.87 | |
United
| Professional | $332.63 | $359.77 | $516.13 |