| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.02 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $53.02 | $84.12 | $286.69 | |
Cigna
| Professional | $65.98 | $210.18 | $340.51 | |
Molina
| Professional | $114.21 | $142.06 | $178.71 | |
Regence BlueShield
| Professional | $70.59 | $114.45 | $354.79 | |
United
| Facility | $658.00 | $4,445.00 | $4,912.00 | |
United
| Professional | $194.14 | $231.61 | $424.80 |