| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.00 | $56.00 | $999.40 | |
Aetna
| Professional | $40.00 | $56.00 | $999.40 | |
Cigna
| Professional | $468.00 | $636.75 | $871.56 | |
Molina
| Professional | $213.57 | $522.10 | $783.15 | |
Regence BlueShield
| Professional | $578.34 | $690.70 | $801.30 | |
United
| Professional | $38.00 | $52.62 | $76.00 |