| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.94 | $160.94 | $2,315.10 | |
Aetna
| Professional | $138.74 | $160.94 | $457.94 | |
Cigna
| Facility | $158.88 | $183.26 | $210.75 | |
Cigna
| Professional | $138.74 | $138.74 | $138.74 | |
Molina
| Professional | $60.00 | $107.53 | $180.23 | |
Regence BlueShield
| Professional | $137.35 | $152.61 | $189.20 | |
United
| Professional | $138.74 | $138.74 | $138.74 |