| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.99 | $145.99 | $145.99 | |
Aetna
| Professional | $111.22 | $122.28 | $168.41 | |
Cigna
| Professional | $109.01 | $158.90 | $227.87 | |
Molina
| Professional | $96.43 | $126.41 | $152.66 | |
Regence BlueShield
| Professional | $124.79 | $183.57 | $239.95 | |
United
| Professional | $106.20 | $133.38 | $201.78 |