| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.72 | $148.72 | $183.10 | |
Aetna
| Professional | $113.93 | $150.69 | $183.99 | |
Cigna
| Professional | $147.06 | $195.53 | $295.62 | |
Molina
| Professional | $120.08 | $151.60 | $176.80 | |
Regence BlueShield
| Professional | $132.15 | $184.17 | $245.72 | |
United
| Professional | $139.19 | $172.80 | $256.11 |