| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.75 | $477.75 | $477.75 | |
Aetna
| Professional | $460.48 | $477.75 | $495.02 | |
Cigna
| Professional | $508.43 | $508.43 | $508.43 | |
Molina
| Professional | $30.00 | $591.63 | $646.67 | |
Regence BlueShield
| Facility | $571.47 | $790.67 | $1,135.11 | |
United
| Professional | $575.60 | $575.60 | $575.60 |