| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.67 | $2,870.00 | $4,387.00 | |
Aetna
| Professional | $52.67 | $152.97 | $241.94 | |
Cigna
| Professional | $65.54 | $192.45 | $289.89 | |
Molina
| Professional | $114.21 | $142.06 | $178.71 | |
Regence BlueShield
| Professional | $70.11 | $111.28 | $295.95 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $161.84 | $189.20 | $354.24 |