| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.18 | $251.18 | $251.18 | |
Aetna
| Professional | $122.29 | $189.31 | $251.18 | |
Cigna
| Professional | $183.31 | $183.31 | $183.31 | |
Molina
| Professional | $143.23 | $187.02 | $227.69 | |
Regence BlueShield
| Professional | $210.96 | $257.61 | $301.60 | |
United
| Professional | $179.52 | $235.62 | $353.42 |