| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.04 | $88.04 | $101.03 | |
Aetna
| Professional | $68.67 | $82.38 | $101.65 | |
Cigna
| Professional | $35.57 | $83.59 | $135.62 | |
Molina
| Professional | $73.76 | $84.08 | $172.57 | |
Regence BlueShield
| Professional | $73.76 | $96.78 | $123.80 | |
United
| Professional | $72.50 | $87.04 | $133.38 |