| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.58 | $207.24 | $224.56 | |
Aetna
| Professional | $117.58 | $219.26 | $1,118.00 | |
Cigna
| Facility | $233.36 | $233.36 | $233.36 | |
Cigna
| Professional | $170.35 | $233.36 | $340.55 | |
Molina
| Professional | $182.08 | $293.69 | $381.79 | |
Regence BlueShield
| Facility | $352.26 | $392.87 | $392.87 | |
Regence BlueShield
| Professional | $223.71 | $281.61 | $422.42 | |
United
| Professional | $125.23 | $182.12 | $233.20 |