| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $281.84 | |
Aetna
| Professional | $89.13 | $93.33 | $112.20 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
Molina
| Professional | $44.67 | $60.26 | $120.23 | |
Regence BlueShield
| Professional | $107.15 | $107.15 | $141.25 | |
Select Health
| Professional | $95.50 | $112.20 | $134.90 | |
United
| Professional | $100.00 | $100.00 | $100.00 |