| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $1,023.29 | $1,023.29 | |
Aetna
| Professional | $38.02 | $56.23 | $1,047.13 | |
Cigna
| Professional | $457.09 | $588.84 | $776.25 | |
Molina
| Professional | $239.88 | $537.03 | $776.25 | |
Regence BlueShield
| Professional | $575.44 | $707.95 | $891.25 | |
United
| Professional | $38.02 | $50.12 | $79.43 |