| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.80 | $80.80 | $113.10 | |
Aetna
| Professional | $79.16 | $113.64 | $430.49 | |
Cigna
| Professional | $92.12 | $144.69 | $232.56 | |
Molina
| Professional | $94.37 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $101.99 | $157.16 | $245.56 | |
United
| Professional | $108.80 | $150.93 | $232.21 |