| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.91 | $35.95 | $90.35 | |
Aetna
| Professional | $57.45 | $90.35 | $340.42 | |
Cigna
| Professional | $71.23 | $111.56 | $183.61 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $76.93 | $121.55 | $190.77 | |
United
| Professional | $84.00 | $117.39 | $180.95 |