| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.53 | $344.51 | $685.64 | |
Aetna
| Professional | $82.29 | $106.62 | $348.60 | |
Cigna
| Professional | $155.81 | $364.25 | $1,225.80 | |
Molina
| Professional | $209.02 | $262.91 | $318.19 | |
Regence BlueShield
| Professional | $135.68 | $178.00 | $576.37 | |
United
| Professional | $70.72 | $99.45 | $290.27 |