| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.61 | $871.39 | $1,184.31 | |
Aetna
| Professional | $355.61 | $355.61 | $906.22 | |
Cigna
| Professional | $440.51 | $440.51 | $440.51 | |
Molina
| Professional | $45.00 | $60.00 | $1,977.36 | |
Regence BlueShield
| Professional | $520.75 | $641.66 | $675.41 | |
United
| Professional | $520.75 | $520.75 | $520.75 |