| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.43 | $152.43 | $152.43 | |
Aetna
| Professional | $152.43 | $170.51 | $1,518.44 | |
Cigna
| Facility | $420.61 | $420.61 | $420.61 | |
Cigna
| Professional | $357.52 | $420.61 | $609.38 | |
Molina
| Professional | $60.00 | $383.69 | $498.79 | |
Regence BlueShield
| Professional | $292.26 | $367.91 | $551.86 | |
United
| Professional | $213.20 | $236.12 | $338.74 |