| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.68 | $831.68 | $831.68 | |
Aetna
| Professional | $762.16 | $809.38 | $1,112.23 | |
Cigna
| Professional | $726.07 | $972.32 | $1,536.55 | |
Molina
| Professional | $30.00 | $45.00 | $1,075.46 | |
Regence BlueShield
| Professional | $864.86 | $1,114.56 | $1,344.04 | |
United
| Professional | $406.88 | $574.57 | $786.80 |