| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,253.14 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $364.28 | $1,053.84 | $1,253.14 | |
Cigna
| Professional | $431.60 | $538.23 | $785.22 | |
Molina
| Professional | $30.00 | $60.00 | $3,068.23 | |
Regence BlueShield
| Professional | $474.75 | $626.71 | $737.31 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $292.17 | $399.43 | $684.32 |