| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $319.11 | $319.11 | $319.11 | |
Aetna
| Professional | $307.58 | $319.11 | $330.64 | |
Cigna
| Professional | $326.80 | $326.80 | $326.80 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $518.53 | $686.01 | $984.87 | |
United
| Professional | $320.39 | $320.39 | $320.39 |