| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.85 | $861.81 | $1,016.87 | |
Aetna
| Professional | $120.89 | $133.00 | $159.21 | |
Cigna
| Professional | $158.41 | $192.39 | $294.02 | |
Molina
| Professional | $95.87 | $125.86 | $153.12 | |
Regence BlueShield
| Professional | $151.86 | $195.78 | $248.46 | |
United
| Professional | $123.84 | $170.28 | $243.81 |