| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.67 | $575.67 | $575.67 | |
Aetna
| Professional | $119.48 | $207.64 | $575.67 | |
Cigna
| Professional | $183.96 | $183.96 | $183.96 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $82.60 | $119.70 | $174.44 | |
United
| Professional | $215.05 | $215.05 | $215.05 |