| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.65 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $68.83 | $90.52 | $147.15 | |
Cigna
| Professional | $87.89 | $118.95 | $153.47 | |
Molina
| Professional | $71.44 | $90.12 | $114.31 | |
Regence BlueShield
| Professional | $97.79 | $117.38 | $166.03 | |
United
| Facility | $658.00 | $4,445.00 | $4,912.00 | |
United
| Professional | $74.48 | $100.98 | $156.06 |