| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.20 | $115.21 | $134.93 | |
Aetna
| Professional | $73.54 | $115.00 | $155.00 | |
Cigna
| Professional | $137.21 | $157.87 | $256.52 | |
Molina
| Professional | $71.61 | $94.06 | $114.31 | |
Regence BlueShield
| Facility | $127.10 | $140.90 | $180.56 | |
United
| Professional | $105.28 | $142.56 | $194.10 |