| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $724.44 | $724.44 | |
Aetna
| Professional | $38.02 | $56.23 | $724.44 | |
Cigna
| Professional | $302.00 | $389.05 | $524.81 | |
Molina
| Professional | $165.96 | $363.08 | $630.96 | |
Regence BlueShield
| Professional | $407.38 | $489.78 | $616.60 | |
United
| Professional | $38.02 | $50.12 | $79.43 |