| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $512.86 | $512.86 | |
Aetna
| Professional | $38.02 | $56.23 | $524.81 | |
Cigna
| Professional | $204.17 | $257.04 | $346.74 | |
Molina
| Professional | $117.49 | $263.03 | $524.81 | |
Regence BlueShield
| Professional | $288.40 | $354.81 | $446.68 | |
United
| Professional | $38.02 | $50.12 | $79.43 |