| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.65 | $406.65 | $406.65 | |
Aetna
| Professional | $325.77 | $406.65 | $1,037.25 | |
Cigna
| Professional | $410.71 | $537.52 | $921.80 | |
Molina
| Professional | $285.75 | $361.79 | $455.27 | |
Regence BlueShield
| Professional | $569.64 | $807.88 | $1,227.18 | |
United
| Professional | $343.03 | $426.24 | $663.75 |