| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.41 | $106.33 | $199.35 | |
Aetna
| Professional | $66.05 | $86.34 | $117.09 | |
Cigna
| Professional | $67.00 | $98.00 | $137.68 | |
Molina
| Professional | $72.17 | $93.51 | $116.28 | |
Regence BlueShield
| Professional | $86.02 | $117.30 | $142.82 | |
United
| Professional | $82.80 | $102.51 | $142.62 |