| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.72 | $106.72 | $312.73 | |
Aetna
| Professional | $83.48 | $106.72 | $491.00 | |
Cigna
| Professional | $97.31 | $126.05 | $186.71 | |
Molina
| Professional | $24.96 | $38.52 | $98.98 | |
Regence BlueShield
| Professional | $129.88 | $165.01 | $196.82 | |
United
| Professional | $89.80 | $98.15 | $154.22 |