| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.70 | $76.70 | $330.90 | |
Aetna
| Professional | $59.40 | $76.70 | $279.25 | |
Cigna
| Professional | $69.77 | $88.38 | $128.09 | |
Molina
| Professional | $24.93 | $37.11 | $66.43 | |
Regence BlueShield
| Professional | $89.23 | $115.29 | $137.19 | |
United
| Professional | $64.23 | $66.04 | $114.62 |