| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.90 | $71.48 | $113.10 | |
Aetna
| Professional | $80.22 | $133.37 | $451.06 | |
Cigna
| Professional | $92.12 | $141.34 | $231.29 | |
Molina
| Professional | $94.37 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $98.10 | $152.41 | $238.50 | |
United
| Professional | $108.75 | $142.62 | $213.76 |