| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.57 | $2,164.00 | $4,387.00 | |
Aetna
| Professional | $13.57 | $30.16 | $60.88 | |
Cigna
| Professional | $13.00 | $33.31 | $67.81 | |
Molina
| Professional | $46.74 | $57.10 | $71.77 | |
Regence BlueShield
| Professional | $17.66 | $31.38 | $57.38 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $21.12 | $40.86 | $47.28 |