| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.51 | $161.51 | $161.51 | |
Aetna
| Professional | $161.51 | $162.47 | $1,446.89 | |
Cigna
| Facility | $344.22 | $344.22 | $344.22 | |
Cigna
| Professional | $251.28 | $344.22 | $354.55 | |
Molina
| Professional | $226.97 | $366.09 | $475.91 | |
Regence BlueShield
| Facility | $439.11 | $489.72 | $489.72 | |
Regence BlueShield
| Professional | $278.87 | $351.04 | $526.54 | |
United
| Professional | $225.89 | $250.18 | $376.11 |