| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.74 | $276.74 | $276.74 | |
Aetna
| Professional | $184.04 | $229.24 | $759.05 | |
Cigna
| Professional | $246.41 | $324.20 | $523.35 | |
Molina
| Professional | $167.15 | $219.37 | $266.50 | |
Regence BlueShield
| Professional | $341.78 | $477.09 | $786.69 | |
United
| Professional | $205.82 | $274.43 | $406.69 |