| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.29 | $244.29 | $244.29 | |
Aetna
| Professional | $16.29 | $244.29 | $307.52 | |
Cigna
| Professional | $281.33 | $281.33 | $281.33 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $316.41 | $431.27 | $628.49 | |
United
| Professional | $249.47 | $249.47 | $249.47 |