| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.15 | $224.15 | $224.15 | |
Aetna
| Professional | $224.15 | $224.15 | $1,641.41 | |
Cigna
| Facility | $325.37 | $325.37 | $325.37 | |
Cigna
| Professional | $237.52 | $237.52 | $675.75 | |
Molina
| Professional | $60.00 | $430.20 | $559.26 | |
Regence BlueShield
| Facility | $516.01 | $575.48 | $575.48 | |
Regence BlueShield
| Professional | $327.71 | $412.50 | $618.75 | |
United
| Professional | $224.15 | $259.77 | $272.36 |