| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.56 | $66.19 | $108.00 | |
Aetna
| Professional | $78.84 | $121.51 | $424.33 | |
Cigna
| Professional | $92.12 | $136.68 | $211.94 | |
Molina
| Professional | $93.78 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $97.05 | $147.96 | $229.28 | |
United
| Professional | $104.40 | $129.60 | $202.17 |