| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.57 | $81.00 | $104.88 | |
Aetna
| Professional | $55.58 | $80.15 | $167.50 | |
Cigna
| Professional | $84.49 | $97.01 | $158.85 | |
Molina
| Professional | $72.17 | $94.06 | $113.84 | |
Regence BlueShield
| Professional | $76.23 | $106.67 | $119.55 | |
United
| Professional | $65.28 | $89.76 | $120.36 |