| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.08 | $229.08 | $229.08 | |
Aetna
| Professional | $49.34 | $58.94 | $229.08 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Molina
| Professional | $30.00 | $283.69 | $310.08 | |
Regence BlueShield
| Facility | $68.70 | $76.16 | $97.60 | |
United
| Professional | $276.00 | $276.00 | $276.00 |