| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.79 | $69.79 | $107.62 | |
Aetna
| Professional | $51.16 | $76.50 | $107.62 | |
Cigna
| Professional | $49.63 | $90.24 | $171.94 | |
Molina
| Professional | $69.52 | $89.98 | $111.24 | |
Regence BlueShield
| Professional | $65.64 | $114.37 | $139.72 | |
United
| Professional | $79.23 | $90.75 | $145.87 |