| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.31 | $258.31 | $258.31 | |
Aetna
| Professional | $258.31 | $304.70 | $2,713.54 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $528.74 | $563.66 | |
Molina
| Professional | $411.60 | $663.88 | $863.04 | |
Regence BlueShield
| Facility | $796.30 | $888.09 | $888.09 | |
Regence BlueShield
| Professional | $505.71 | $636.58 | $954.87 | |
United
| Professional | $361.27 | $400.12 | $574.02 |