| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.12 | $899.37 | $899.37 | |
Aetna
| Professional | $77.51 | $90.79 | $773.45 | |
Cigna
| Professional | $75.83 | $107.66 | $158.86 | |
Molina
| Professional | $72.17 | $94.06 | $114.31 | |
Regence BlueShield
| Professional | $87.55 | $125.60 | $164.19 | |
United
| Professional | $66.84 | $90.28 | $139.19 |