| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.44 | $3,431.61 | $6,077.36 | |
Aetna
| Professional | $76.44 | $142.53 | $788.49 | |
Cigna
| Facility | $195.78 | $195.78 | $195.78 | |
Cigna
| Professional | $166.41 | $166.41 | $290.12 | |
Molina
| Professional | $60.00 | $193.35 | $251.35 | |
Regence BlueShield
| Professional | $147.29 | $185.40 | $278.10 | |
United
| Professional | $106.91 | $118.40 | $169.87 |