| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.43 | $93.24 | $97.58 | |
Aetna
| Professional | $55.09 | $73.45 | $102.47 | |
Cigna
| Professional | $55.00 | $84.00 | $120.70 | |
Molina
| Professional | $72.17 | $90.12 | $106.03 | |
Regence BlueShield
| Professional | $72.25 | $95.63 | $119.57 | |
United
| Professional | $71.70 | $90.56 | $127.52 |