| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.74 | $265.82 | $394.04 | |
Aetna
| Professional | $88.98 | $111.13 | $150.86 | |
Cigna
| Professional | $83.00 | $119.00 | $169.60 | |
Molina
| Professional | $96.43 | $118.77 | $140.57 | |
Regence BlueShield
| Professional | $117.05 | $140.38 | $174.72 | |
United
| Professional | $101.40 | $126.32 | $180.34 |