| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.56 | $62.82 | $96.13 | |
Aetna
| Professional | $58.81 | $97.14 | $377.90 | |
Cigna
| Professional | $71.23 | $113.29 | $195.36 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $76.93 | $126.65 | $198.67 | |
United
| Professional | $90.77 | $122.07 | $184.76 |