| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.89 | $90.54 | $106.52 | |
Aetna
| Professional | $79.89 | $112.88 | $337.30 | |
Cigna
| Professional | $120.87 | $145.03 | $243.65 | |
Molina
| Professional | $72.17 | $94.06 | $113.84 | |
Regence BlueShield
| Professional | $113.37 | $153.86 | $175.12 | |
United
| Professional | $92.75 | $128.91 | $173.45 |