| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.55 | $140.55 | $140.55 | |
Aetna
| Professional | $140.55 | $146.37 | $1,303.51 | |
Cigna
| Facility | $366.26 | $366.26 | $366.26 | |
Cigna
| Professional | $267.37 | $366.26 | $390.45 | |
Molina
| Professional | $226.40 | $365.17 | $474.72 | |
Regence BlueShield
| Facility | $438.00 | $488.49 | $488.49 | |
Regence BlueShield
| Professional | $278.17 | $350.15 | $525.22 | |
United
| Professional | $196.58 | $217.72 | $312.33 |