| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.32 | $262.32 | $262.32 | |
Aetna
| Professional | $262.32 | $354.45 | $2,994.64 | |
Cigna
| Facility | $579.51 | $579.51 | $579.51 | |
Cigna
| Professional | $423.04 | $579.51 | $810.24 | |
Molina
| Professional | $385.27 | $621.41 | $807.83 | |
Regence BlueShield
| Facility | $745.35 | $831.27 | $831.27 | |
Regence BlueShield
| Professional | $473.35 | $595.85 | $893.78 | |
United
| Professional | $366.88 | $406.33 | $582.94 |