| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.58 | $105.74 | $138.56 | |
Aetna
| Professional | $63.08 | $82.77 | $115.05 | |
Cigna
| Professional | $63.00 | $91.00 | $131.08 | |
Molina
| Professional | $72.17 | $90.12 | $106.03 | |
Regence BlueShield
| Professional | $82.03 | $106.85 | $131.05 | |
United
| Professional | $75.00 | $93.22 | $130.01 |