| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.83 | $109.74 | $129.11 | |
Aetna
| Professional | $83.53 | $106.30 | $144.60 | |
Cigna
| Professional | $82.35 | $134.26 | $204.80 | |
Molina
| Professional | $95.87 | $114.49 | $138.28 | |
Regence BlueShield
| Professional | $111.00 | $138.97 | $181.41 | |
United
| Professional | $97.44 | $127.32 | $179.28 |