| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.26 | $82.28 | $88.52 | |
Aetna
| Professional | $36.26 | $76.97 | $179.47 | |
Aetna
| Professional | 25 | $17.38 | $77.48 | $145.58 |
Cigna
| Professional | $79.77 | $107.82 | $172.57 | |
Molina
| Professional | $71.44 | $93.51 | $114.31 | |
Regence BlueShield
| Professional | $77.27 | $94.29 | $131.72 | |
United
| Professional | $73.92 | $98.40 | $144.61 |