| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.05 | $506.05 | $506.05 | |
Aetna
| Professional | $450.61 | $496.43 | $699.64 | |
Cigna
| Professional | $445.33 | $597.66 | $931.40 | |
Molina
| Professional | $359.09 | $455.85 | $569.11 | |
Regence BlueShield
| Professional | $511.53 | $698.52 | $837.04 | |
United
| Professional | $379.20 | $474.00 | $737.71 |