| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $272.77 | $272.77 | $272.77 | |
Aetna
| Professional | $194.69 | $272.77 | $442.54 | |
Cigna
| Professional | $256.20 | $338.86 | $546.09 | |
Molina
| Professional | $216.51 | $282.19 | $342.93 | |
Regence BlueShield
| Professional | $300.58 | $369.84 | $457.25 | |
United
| Professional | $210.18 | $282.24 | $409.11 |