| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.86 | $43.86 | $106.90 | |
Aetna
| Professional | $27.74 | $51.20 | $134.53 | |
Cigna
| Professional | $27.48 | $69.80 | $164.74 | |
Molina
| Professional | $68.55 | $84.87 | $110.30 | |
Regence BlueShield
| Professional | $39.01 | $56.63 | $131.16 | |
United
| Professional | $70.62 | $91.08 | $134.82 |