| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.00 | $56.00 | $499.70 | |
Aetna
| Professional | $40.00 | $56.00 | $499.70 | |
Cigna
| Professional | $208.00 | $283.00 | $387.36 | |
Molina
| Professional | $94.92 | $261.05 | $522.10 | |
Regence BlueShield
| Professional | $289.17 | $345.35 | $400.65 | |
United
| Professional | $38.00 | $50.00 | $76.00 |