| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.94 | $66.94 | $66.94 | |
Aetna
| Professional | $49.26 | $57.69 | $82.12 | |
Cigna
| Professional | $69.25 | $89.71 | $138.74 | |
Molina
| Professional | $30.00 | $88.89 | $160.68 | |
Regence BlueShield
| Professional | $64.84 | $73.15 | $98.13 | |
United
| Professional | $59.21 | $76.40 | $115.25 |