| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.56 | $139.56 | $369.89 | |
Aetna
| Professional | $98.15 | $133.47 | $152.40 | |
Cigna
| Professional | $121.65 | $161.08 | $215.43 | |
Molina
| Professional | $60.00 | $64.69 | $117.21 | |
Regence BlueShield
| Professional | $173.50 | $217.35 | $267.86 | |
United
| Professional | $130.13 | $137.00 | $222.30 |