| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.47 | $134.47 | $134.47 | |
Aetna
| Professional | $134.47 | $134.47 | $134.47 | |
Cigna
| Professional | $137.72 | $137.72 | $137.72 | |
Molina
| Professional | $45.00 | $60.00 | $361.61 | |
Regence BlueShield
| Professional | $153.91 | $189.66 | $199.63 | |
United
| Professional | $153.91 | $153.91 | $153.91 |