| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.54 | $515.54 | $515.54 | |
Aetna
| Professional | $451.85 | $480.66 | $696.13 | |
Cigna
| Professional | $444.28 | $604.92 | $929.30 | |
Molina
| Professional | $359.09 | $455.85 | $569.11 | |
Regence BlueShield
| Professional | $510.50 | $704.70 | $867.22 | |
United
| Professional | $387.60 | $490.96 | $762.28 |