| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.61 | $88.61 | $204.30 | |
Aetna
| Professional | $71.11 | $86.30 | $431.00 | |
Cigna
| Professional | $82.24 | $107.86 | $159.80 | |
Molina
| Professional | $24.96 | $37.72 | $66.43 | |
Regence BlueShield
| Professional | $110.55 | $140.35 | $170.88 | |
United
| Professional | $76.11 | $81.20 | $132.19 |