| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.59 | $71.59 | $104.24 | |
Aetna
| Professional | $64.75 | $100.95 | $380.00 | |
Cigna
| Professional | $81.48 | $121.78 | $206.80 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $81.87 | $132.13 | $207.83 | |
United
| Professional | $96.52 | $131.19 | $193.51 |