| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $416.87 | $416.87 | |
Aetna
| Professional | $34.67 | $56.23 | $416.87 | |
Cigna
| Professional | $151.36 | $194.98 | $263.03 | |
Molina
| Professional | $95.50 | $213.80 | $467.74 | |
Regence BlueShield
| Professional | $229.09 | $281.84 | $354.81 | |
United
| Professional | $38.02 | $50.12 | $79.43 |