| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.79 | $98.79 | $918.99 | |
Aetna
| Professional | $36.11 | $52.61 | $98.79 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $129.54 | $161.52 | $231.88 | |
United
| Professional | $79.29 | $79.29 | $79.29 |