| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.55 | $86.55 | $86.55 | |
Aetna
| Professional | $58.59 | $71.68 | $96.79 | |
Cigna
| Professional | $88.72 | $103.94 | $138.59 | |
Molina
| Professional | $72.17 | $85.38 | $101.21 | |
Regence BlueShield
| Professional | $77.27 | $90.39 | $128.91 | |
United
| Professional | $67.64 | $90.87 | $139.80 |