| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.64 | $331.64 | $331.64 | |
Aetna
| Professional | $267.51 | $334.53 | $530.50 | |
Cigna
| Professional | $304.86 | $403.17 | $658.10 | |
Molina
| Professional | $240.77 | $314.53 | $381.75 | |
Regence BlueShield
| Professional | $360.96 | $439.92 | $544.11 | |
United
| Professional | $250.17 | $320.39 | $484.20 |