| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.47 | $2,305.77 | $6,539.17 | |
Aetna
| Professional | $836.47 | $836.47 | $1,032.19 | |
Cigna
| Professional | $360.74 | $360.74 | $360.74 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $893.07 | $1,113.58 | $1,598.71 |