| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.38 | $151.68 | $160.35 | |
Aetna
| Professional | $97.88 | $123.87 | $165.16 | |
Cigna
| Professional | $110.00 | $178.19 | $242.94 | |
Molina
| Professional | $96.43 | $118.77 | $140.57 | |
Regence BlueShield
| Professional | $126.48 | $158.10 | $196.51 | |
United
| Professional | $105.26 | $143.93 | $207.56 |