| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.00 | $56.00 | $599.64 | |
Aetna
| Professional | $40.00 | $56.00 | $599.64 | |
Cigna
| Professional | $260.00 | $353.75 | $484.20 | |
Molina
| Professional | $118.65 | $313.26 | $574.30 | |
Regence BlueShield
| Professional | $347.00 | $414.42 | $480.78 | |
United
| Professional | $38.00 | $51.00 | $78.00 |