| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.80 | $145.68 | $1,339.07 | |
Aetna
| Professional | $11.40 | $43.27 | $115.29 | |
Cigna
| Professional | $15.26 | $57.08 | $75.28 | |
Molina
| Professional | $23.09 | $29.37 | $37.72 | |
Regence BlueShield
| Professional | $13.43 | $26.67 | $72.50 | |
United
| Professional | $48.62 | $72.93 | $107.25 |