| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.91 | $33.75 | $90.01 | |
Aetna
| Professional | $58.81 | $94.05 | $354.02 | |
Cigna
| Professional | $71.23 | $111.19 | $182.93 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $76.93 | $121.16 | $190.18 | |
United
| Professional | $85.14 | $117.00 | $177.00 |