| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.73 | $57.73 | $108.16 | |
Aetna
| Professional | $40.17 | $70.14 | $141.22 | |
Cigna
| Professional | $37.88 | $76.22 | $163.19 | |
Molina
| Professional | $69.12 | $85.61 | $110.30 | |
Regence BlueShield
| Professional | $53.42 | $81.59 | $139.33 | |
United
| Professional | $70.98 | $91.41 | $143.01 |