| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.00 | $324.00 | $324.00 | |
Aetna
| Professional | $324.00 | $324.00 | $606.23 | |
Cigna
| Professional | $65.25 | $643.37 | $1,068.75 | |
Molina
| Professional | $60.00 | $82.09 | $1,066.93 | |
Regence BlueShield
| Professional | $513.38 | $513.38 | $621.46 | |
United
| Professional | $311.57 | $388.47 | $614.21 |