| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.19 | $140.19 | $527.91 | |
Aetna
| Professional | $98.29 | $139.79 | $150.44 | |
Cigna
| Professional | $119.26 | $159.54 | $212.84 | |
Molina
| Professional | $32.34 | $43.66 | $216.05 | |
Regence BlueShield
| Professional | $173.01 | $217.97 | $272.42 | |
United
| Professional | $222.54 | $279.80 | $458.40 |