| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.70 | $76.70 | $76.70 | |
Aetna
| Professional | $62.88 | $70.98 | $91.50 | |
Cigna
| Professional | $46.87 | $87.60 | $126.15 | |
Molina
| Professional | $91.32 | $226.30 | $294.19 | |
Regence BlueShield
| Professional | $67.39 | $78.90 | $99.51 | |
United
| Professional | $60.80 | $87.09 | $126.21 |