| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.26 | $362.26 | $362.26 | |
Aetna
| Professional | $314.36 | $340.61 | $480.81 | |
Cigna
| Professional | $309.25 | $423.75 | $647.35 | |
Molina
| Professional | $240.77 | $314.53 | $381.75 | |
Regence BlueShield
| Professional | $356.08 | $482.93 | $610.10 | |
United
| Professional | $280.55 | $338.55 | $537.12 |