| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.94 | $129.94 | $129.94 | |
Aetna
| Professional | $99.87 | $114.68 | $129.94 | |
Cigna
| Professional | $125.36 | $155.01 | $232.99 | |
Molina
| Professional | $71.44 | $93.51 | $114.31 | |
Regence BlueShield
| Professional | $122.02 | $177.12 | $241.62 | |
United
| Professional | $97.20 | $129.60 | $192.29 |