| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $401.47 | $401.47 | $401.47 | |
Aetna
| Professional | $386.96 | $401.47 | $483.70 | |
Cigna
| Professional | $411.15 | $411.15 | $411.15 | |
Molina
| Professional | $60.00 | $512.04 | $559.67 | |
Regence BlueShield
| Facility | $692.09 | $874.19 | $1,602.26 | |
United
| Professional | $403.08 | $403.08 | $403.08 |