| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.97 | $540.97 | $540.97 | |
Aetna
| Professional | $472.00 | $500.96 | $724.61 | |
Cigna
| Professional | $463.02 | $634.64 | $968.37 | |
Molina
| Professional | $381.82 | $485.22 | $605.33 | |
Regence BlueShield
| Professional | $531.87 | $739.07 | $914.19 | |
United
| Professional | $405.60 | $509.97 | $802.41 |