| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.69 | $76.69 | $76.69 | |
Aetna
| Professional | $56.84 | $66.95 | $94.56 | |
Cigna
| Professional | $79.91 | $103.07 | $159.04 | |
Molina
| Professional | $30.00 | $102.12 | $179.06 | |
Regence BlueShield
| Professional | $74.86 | $83.88 | $113.25 | |
United
| Professional | $65.70 | $88.91 | $131.41 |