| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.37 | $296.37 | $301.47 | |
Aetna
| Professional | $225.76 | $258.62 | $301.47 | |
Cigna
| Professional | $296.75 | $363.59 | $569.09 | |
Molina
| Professional | $167.49 | $219.37 | $267.76 | |
Regence BlueShield
| Professional | $283.05 | $368.43 | $470.49 | |
United
| Professional | $234.56 | $328.80 | $439.81 |