| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $965.84 | $965.84 | $2,668.39 | |
Aetna
| Professional | $513.41 | $798.38 | $965.84 | |
Cigna
| Professional | $291.51 | $291.51 | $291.51 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $765.17 | $954.11 | $1,369.76 | |
United
| Professional | $636.29 | $636.29 | $636.29 |