| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.79 | $63.79 | $63.79 | |
Aetna
| Professional | $63.79 | $63.79 | $63.79 | |
Cigna
| Professional | $65.33 | $65.33 | $65.33 | |
Molina
| Professional | $42.17 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $73.02 | $89.98 | $94.71 | |
United
| Professional | $64.05 | $64.05 | $64.05 |