| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $6,717.07 | |
Aetna
| Professional | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $58.93 | $58.93 | $58.93 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $65.86 | $81.15 | $85.42 | |
United
| Professional | $57.78 | $57.78 | $57.78 |