| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.40 | $143.40 | $143.40 | |
Aetna
| Professional | $143.40 | $192.33 | $1,712.79 | |
Cigna
| Facility | $335.84 | $335.84 | $335.84 | |
Cigna
| Professional | $245.16 | $245.16 | $607.89 | |
Molina
| Professional | $207.94 | $335.40 | $436.02 | |
Regence BlueShield
| Facility | $402.30 | $448.67 | $448.67 | |
Regence BlueShield
| Professional | $255.49 | $321.61 | $482.41 | |
United
| Professional | $200.56 | $222.12 | $317.86 |