| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.35 | $130.07 | $150.53 | |
Aetna
| Professional | $21.75 | $65.44 | $119.73 | |
Cigna
| Professional | $29.65 | $69.19 | $110.70 | |
Molina
| Professional | $47.35 | $61.01 | $72.32 | |
Regence BlueShield
| Professional | $26.13 | $54.87 | $109.75 | |
United
| Professional | $71.40 | $105.00 | $155.41 |