| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.51 | $2,922.00 | $4,387.00 | |
Aetna
| Professional | $120.43 | $173.86 | $371.74 | |
Cigna
| Professional | $151.88 | $191.15 | $261.47 | |
Molina
| Professional | $92.64 | $109.09 | $143.38 | |
Regence BlueShield
| Professional | $167.97 | $216.24 | $275.08 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $118.11 | $159.60 | $251.46 |