| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.47 | $308.47 | $308.47 | |
Aetna
| Professional | $297.32 | $308.47 | $339.31 | |
Cigna
| Professional | $321.72 | $321.72 | $321.72 | |
Molina
| Professional | $60.00 | $338.05 | $411.80 | |
Regence BlueShield
| Facility | $19.02 | $22.37 | $24.02 | |
United
| Professional | $309.70 | $309.70 | $309.70 |