| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.33 | $211.33 | $211.33 | |
Aetna
| Professional | $182.18 | $200.40 | $227.73 | |
Cigna
| Facility | $212.26 | $240.62 | $276.70 | |
Cigna
| Professional | $182.18 | $182.18 | $182.18 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Professional | $180.36 | $200.40 | $200.40 | |
United
| Professional | $182.18 | $182.18 | $182.18 |