| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $264.97 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $181.55 | $425.48 | $796.00 | |
Cigna
| Professional | $186.01 | $342.06 | $498.37 | |
Molina
| Professional | $207.66 | $248.11 | $339.43 | |
Regence BlueShield
| Professional | $188.57 | $403.72 | $678.44 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $290.73 | $364.11 | $634.32 |