| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.47 | $175.20 | $175.72 | |
Aetna
| Professional | $78.14 | $95.11 | $131.80 | |
Cigna
| Professional | $67.00 | $110.34 | $169.59 | |
Molina
| Professional | $72.17 | $90.12 | $106.03 | |
Regence BlueShield
| Professional | $83.84 | $107.30 | $132.74 | |
United
| Professional | $73.66 | $95.22 | $141.27 |