| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.50 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $141.06 | $160.50 | $265.47 | |
Cigna
| Professional | $173.21 | $212.64 | $267.17 | |
Molina
| Professional | $141.28 | $166.01 | $215.13 | |
Regence BlueShield
| Professional | $179.70 | $215.95 | $274.91 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $149.96 | $186.85 | $267.85 |