| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.53 | $194.53 | $194.53 | |
Aetna
| Professional | $194.53 | $219.65 | $1,956.11 | |
Cigna
| Facility | $427.13 | $427.13 | $427.13 | |
Cigna
| Professional | $311.80 | $427.13 | $439.94 | |
Molina
| Professional | $273.37 | $440.92 | $573.19 | |
Regence BlueShield
| Facility | $528.87 | $589.83 | $589.83 | |
Regence BlueShield
| Professional | $335.87 | $422.79 | $634.17 | |
United
| Professional | $272.06 | $301.32 | $432.28 |