| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.19 | $128.19 | $128.19 | |
Aetna
| Professional | $128.19 | $158.44 | $1,411.04 | |
Cigna
| Facility | $306.16 | $306.16 | $306.16 | |
Cigna
| Professional | $223.50 | $306.16 | $326.39 | |
Molina
| Professional | $181.13 | $292.14 | $379.79 | |
Regence BlueShield
| Facility | $350.42 | $390.81 | $390.81 | |
Regence BlueShield
| Professional | $222.54 | $280.13 | $420.20 | |
United
| Professional | $165.49 | $198.59 | $284.89 |