| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.65 | $243.65 | $248.36 | |
Aetna
| Professional | $185.11 | $207.66 | $248.36 | |
Cigna
| Professional | $244.31 | $298.83 | $468.82 | |
Molina
| Professional | $143.23 | $187.02 | $232.57 | |
Regence BlueShield
| Professional | $233.33 | $303.47 | $387.59 | |
United
| Professional | $187.24 | $271.24 | $380.13 |