| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.59 | $71.59 | $98.46 | |
Aetna
| Professional | $66.56 | $98.46 | $387.13 | |
Cigna
| Professional | $81.48 | $124.48 | $203.59 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $86.81 | $133.36 | $208.95 | |
United
| Professional | $94.35 | $129.99 | $189.08 |