| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.84 | $415.84 | $415.84 | |
Aetna
| Professional | $347.08 | $398.22 | $556.05 | |
Cigna
| Professional | $386.66 | $496.70 | $767.36 | |
Molina
| Professional | $30.00 | $45.00 | $564.37 | |
Regence BlueShield
| Professional | $431.91 | $557.28 | $679.60 | |
United
| Professional | $321.77 | $411.60 | $619.92 |