| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.90 | $1,195.50 | $4,387.00 | |
Aetna
| Professional | $46.90 | $129.34 | $260.50 | |
Cigna
| Professional | $61.56 | $126.66 | $237.55 | |
Molina
| Professional | $69.52 | $86.05 | $115.88 | |
Regence BlueShield
| Professional | $67.62 | $133.60 | $314.06 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $133.28 | $172.48 | $282.24 |