| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.90 | $65.25 | $131.78 | |
Aetna
| Professional | $96.79 | $146.63 | $523.25 | |
Cigna
| Professional | $112.59 | $167.40 | $255.41 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $118.93 | $181.98 | $276.10 | |
United
| Professional | $125.86 | $160.58 | $243.59 |