| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $514.58 | $514.58 | $514.58 | |
Aetna
| Professional | $514.58 | $514.58 | $514.58 | |
Cigna
| Professional | $526.98 | $526.98 | $526.98 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $588.98 | $725.74 | $763.91 | |
United
| Professional | $516.65 | $516.65 | $516.65 |