| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.59 | $71.59 | $103.90 | |
Aetna
| Professional | $64.93 | $103.90 | $401.79 | |
Cigna
| Professional | $81.48 | $124.48 | $211.16 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $86.81 | $137.24 | $216.24 | |
United
| Professional | $99.18 | $126.54 | $198.37 |