| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.60 | $119.60 | $121.17 | |
Aetna
| Professional | $90.80 | $104.58 | $121.17 | |
Cigna
| Professional | $124.61 | $146.61 | $225.93 | |
Molina
| Professional | $71.61 | $93.51 | $116.28 | |
Regence BlueShield
| Professional | $116.65 | $149.36 | $189.20 | |
United
| Professional | $93.45 | $129.13 | $176.40 |