| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.37 | $185.37 | $187.34 | |
Aetna
| Professional | $141.00 | $156.27 | $187.34 | |
Cigna
| Professional | $187.29 | $227.39 | $350.05 | |
Molina
| Professional | $118.97 | $154.68 | $194.07 | |
Regence BlueShield
| Professional | $181.01 | $231.40 | $292.42 | |
United
| Professional | $140.61 | $182.00 | $273.00 |