| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.56 | $63.38 | $71.59 | |
Aetna
| Professional | $71.22 | $117.90 | $405.90 | |
Cigna
| Professional | $81.48 | $127.44 | $200.79 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $89.63 | $136.62 | $214.24 | |
United
| Professional | $93.39 | $131.82 | $196.04 |