| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.05 | $359.55 | $4,291.00 | |
Aetna
| Professional | $19.98 | $63.52 | $286.77 | |
Cigna
| Professional | $25.55 | $56.53 | $78.20 | |
Molina
| Professional | $22.92 | $29.37 | $38.62 | |
Regence BlueShield
| Professional | $23.99 | $37.02 | $79.14 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $42.72 | $53.97 | $78.56 |