| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.13 | $91.13 | $91.13 | |
Aetna
| Professional | $74.44 | $84.09 | $108.40 | |
Cigna
| Professional | $53.00 | $100.00 | $144.94 | |
Molina
| Professional | $30.00 | $45.00 | $117.75 | |
Regence BlueShield
| Professional | $84.46 | $98.13 | $115.45 | |
United
| Professional | $70.18 | $91.58 | $129.13 |