| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.89 | $39.89 | $39.89 |
Aetna
| Professional | $81.76 | $106.79 | $198.49 | |
Cigna
| Professional | $99.83 | $133.10 | $174.90 | |
Molina
| Professional | $32.57 | $66.69 | $98.98 | |
Regence BlueShield
| Professional | $141.78 | $183.11 | $235.19 | |
United
| Professional | $97.96 | $107.31 | $166.14 |