| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.03 | $93.03 | $281.57 | |
Aetna
| Professional | $93.03 | $93.03 | $93.03 | |
Cigna
| Professional | $95.27 | $95.27 | $95.27 | |
Molina
| Professional | $45.00 | $60.00 | $120.24 | |
Regence BlueShield
| Professional | $106.48 | $131.19 | $138.10 | |
United
| Professional | $100.00 | $100.00 | $100.00 |