| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.00 | $56.00 | $699.58 | |
Aetna
| Professional | $40.00 | $56.00 | $699.58 | |
Cigna
| Professional | $312.00 | $424.50 | $581.04 | |
Molina
| Professional | $142.38 | $365.47 | $626.52 | |
Regence BlueShield
| Professional | $404.84 | $483.49 | $560.91 | |
United
| Professional | $38.00 | $51.00 | $76.00 |