| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.99 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $132.99 | $389.67 | $790.49 | |
Cigna
| Professional | $118.61 | $347.46 | $469.67 | |
Molina
| Professional | $160.96 | $200.18 | $269.48 | |
Regence BlueShield
| Professional | $125.71 | $210.27 | $612.41 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $264.18 | $310.81 | $592.57 |