| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.29 | $348.26 | $409.71 | |
Aetna
| Professional | $277.98 | $348.26 | $427.98 | |
Cigna
| Professional | $418.11 | $418.11 | $418.11 | |
Molina
| Professional | $332.65 | $408.34 | $525.43 | |
Regence BlueShield
| Professional | $370.68 | $459.22 | $588.97 | |
United
| Professional | $366.40 | $446.55 | $687.01 |