| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.00 | $56.00 | $399.76 | |
Aetna
| Professional | $40.00 | $56.00 | $399.76 | |
Cigna
| Professional | $156.00 | $212.25 | $290.52 | |
Molina
| Professional | $71.19 | $208.84 | $469.89 | |
Regence BlueShield
| Professional | $231.34 | $276.27 | $320.52 | |
United
| Professional | $38.00 | $52.00 | $78.00 |