| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.97 | $2,910.00 | $4,387.00 | |
Aetna
| Professional | $91.28 | $153.63 | $411.43 | |
Cigna
| Professional | $121.13 | $187.26 | $237.75 | |
Molina
| Professional | $93.49 | $113.33 | $156.31 | |
Regence BlueShield
| Professional | $125.23 | $197.75 | $313.16 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $138.72 | $163.21 | $320.39 |