| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $263.03 | $323.59 | |
Aetna
| Professional | $257.04 | $263.03 | $323.59 | |
Cigna
| Professional | $275.42 | $275.42 | $275.42 | |
Molina
| Professional | $44.67 | $60.26 | $72.44 | |
Regence BlueShield
| Professional | $302.00 | $302.00 | $407.38 | |
Select Health
| Professional | $69.18 | $302.00 | $371.54 | |
United
| Professional | $269.15 | $269.15 | $269.15 |