| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.04 | $109.04 | $145.41 | |
Aetna
| Professional | $99.05 | $145.16 | $348.30 | |
Cigna
| Professional | $123.67 | $179.95 | $276.52 | |
Molina
| Professional | $118.63 | $154.68 | $188.87 | |
Regence BlueShield
| Professional | $128.10 | $194.94 | $298.99 | |
United
| Professional | $136.88 | $188.80 | $279.67 |