| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.25 | $215.25 | $215.25 | |
Aetna
| Professional | $215.25 | $253.92 | $2,261.26 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $564.36 | $581.29 | |
Molina
| Professional | $342.99 | $553.21 | $719.17 | |
Regence BlueShield
| Facility | $663.55 | $740.03 | $740.03 | |
Regence BlueShield
| Professional | $421.40 | $530.45 | $795.68 | |
United
| Professional | $301.05 | $333.42 | $478.34 |