| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.65 | $142.65 | $142.65 | |
Aetna
| Professional | $106.32 | $134.66 | $354.47 | |
Cigna
| Professional | $143.56 | $186.80 | $317.08 | |
Molina
| Professional | $95.87 | $125.86 | $152.66 | |
Regence BlueShield
| Professional | $196.51 | $277.56 | $436.51 | |
United
| Professional | $116.40 | $149.99 | $229.81 |