| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.19 | $137.46 | $309.23 | |
Aetna
| Professional | $88.97 | $141.58 | $316.00 | |
Cigna
| Professional | $153.08 | $183.84 | $302.88 | |
Molina
| Professional | $96.43 | $126.41 | $152.66 | |
Regence BlueShield
| Professional | $133.85 | $202.76 | $229.52 | |
United
| Professional | $123.84 | $187.13 | $402.92 |