| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.88 | $312.88 | $312.88 | |
Aetna
| Professional | $312.88 | $488.19 | $3,062.31 | |
Cigna
| Facility | $607.01 | $607.01 | $607.01 | |
Cigna
| Professional | $443.12 | $607.01 | $887.47 | |
Molina
| Professional | $497.59 | $802.57 | $1,043.34 | |
Regence BlueShield
| Facility | $962.64 | $1,073.59 | $1,073.59 | |
Regence BlueShield
| Professional | $611.34 | $769.56 | $1,154.33 | |
United
| Professional | $372.35 | $484.64 | $796.04 |