| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.94 | $203.94 | $203.94 | |
Aetna
| Professional | $164.43 | $202.21 | $451.42 | |
Cigna
| Professional | $179.31 | $241.22 | $375.97 | |
Molina
| Professional | $144.34 | $188.12 | $228.62 | |
Regence BlueShield
| Professional | $207.51 | $281.33 | $351.96 | |
United
| Professional | $159.25 | $206.50 | $308.57 |