| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.80 | $211.80 | $211.80 | |
Aetna
| Professional | $211.80 | $213.06 | $1,897.40 | |
Cigna
| Facility | $410.92 | $410.92 | $410.92 | |
Cigna
| Professional | $299.97 | $410.92 | $491.12 | |
Molina
| Professional | $385.53 | $621.83 | $808.37 | |
Regence BlueShield
| Facility | $745.86 | $831.83 | $831.83 | |
Regence BlueShield
| Professional | $473.67 | $596.25 | $894.38 | |
United
| Professional | $296.23 | $328.08 | $470.67 |