| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.02 | $597.02 | $3,560.77 | |
Aetna
| Professional | $597.02 | $597.02 | $597.02 | |
Cigna
| Professional | $611.41 | $611.41 | $611.41 | |
Molina
| Professional | $45.00 | $60.00 | $771.57 | |
Regence BlueShield
| Professional | $683.33 | $842.00 | $886.28 | |
United
| Professional | $683.34 | $683.34 | $683.34 |