| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $430.91 | $430.91 | $430.91 | |
Aetna
| Professional | $367.89 | $430.91 | $3,108.22 | |
Cigna
| Facility | $616.27 | $616.27 | $616.27 | |
Cigna
| Professional | $449.88 | $616.27 | $656.98 | |
Molina
| Professional | $506.07 | $816.25 | $1,061.12 | |
Regence BlueShield
| Facility | $979.05 | $1,091.90 | $1,091.90 | |
Regence BlueShield
| Professional | $621.76 | $782.68 | $1,174.02 | |
United
| Professional | $385.25 | $492.02 | $624.28 |