| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.69 | $155.11 | $305.64 | |
Aetna
| Professional | $89.09 | $120.13 | $167.51 | |
Cigna
| Professional | $90.00 | $134.00 | $184.33 | |
Molina
| Professional | $96.43 | $118.77 | $140.57 | |
Regence BlueShield
| Professional | $117.81 | $149.43 | $191.92 | |
United
| Professional | $113.40 | $137.76 | $192.78 |