| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.98 | $942.65 | $4,312.00 | |
Aetna
| Professional | $165.55 | $422.16 | $1,804.00 | |
Cigna
| Professional | $222.04 | $376.81 | $603.98 | |
Molina
| Professional | $279.10 | $345.02 | $442.38 | |
Regence BlueShield
| Professional | $206.64 | $432.49 | $589.88 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $327.32 | $407.81 | $606.04 |