| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.42 | $590.42 | $590.42 | |
Aetna
| Professional | $569.09 | $590.42 | $611.77 | |
Cigna
| Professional | $628.37 | $628.37 | $628.37 | |
Molina
| Professional | $30.00 | $757.43 | $827.91 | |
Regence BlueShield
| Facility | $542.77 | $601.66 | $601.66 | |
United
| Professional | $592.79 | $592.79 | $592.79 |