| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $747.63 | $747.63 | $747.63 | |
Aetna
| Professional | $604.79 | $741.23 | $1,482.38 | |
Cigna
| Professional | $662.72 | $904.51 | $1,430.59 | |
Molina
| Professional | $526.58 | $676.33 | $835.62 | |
Regence BlueShield
| Professional | $785.92 | $1,065.90 | $1,238.73 | |
United
| Professional | $567.29 | $736.19 | $1,100.35 |