| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $347.99 | $347.99 | $347.99 | |
Aetna
| Professional | $154.66 | $210.76 | $347.99 | |
Cigna
| Professional | $221.74 | $365.28 | $539.16 | |
Molina
| Professional | $25.98 | $121.96 | $191.32 | |
Regence BlueShield
| Professional | $313.74 | $447.07 | $733.68 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $168.90 | $276.22 | $418.53 |