| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $372.70 | $1,886.90 | $6,849.18 | |
Aetna
| Professional | $264.64 | $293.39 | $415.38 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $409.02 | $510.01 | $732.19 | |
United
| Professional | $242.40 | $242.40 | $242.40 |