| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.38 | $299.38 | $299.38 | |
Aetna
| Professional | $299.38 | $299.38 | $2,285.62 | |
Cigna
| Facility | $525.23 | $525.23 | $525.23 | |
Cigna
| Professional | $383.42 | $525.23 | $559.92 | |
Molina
| Professional | $371.40 | $599.04 | $778.75 | |
Regence BlueShield
| Facility | $718.52 | $801.34 | $801.34 | |
Regence BlueShield
| Professional | $456.32 | $574.40 | $861.60 | |
United
| Professional | $326.60 | $361.72 | $594.14 |