| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.79 | $35.95 | $81.19 | |
Aetna
| Professional | $52.62 | $81.93 | $320.88 | |
Cigna
| Professional | $61.00 | $103.56 | $166.59 | |
Molina
| Professional | $70.11 | $91.08 | $111.24 | |
Regence BlueShield
| Professional | $69.88 | $113.71 | $178.41 | |
United
| Professional | $75.20 | $108.81 | $169.21 |