| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.22 | $163.22 | $163.22 | |
Aetna
| Professional | $98.59 | $116.99 | $163.22 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Molina
| Professional | $95.87 | $114.49 | $135.16 | |
Regence BlueShield
| Professional | $124.43 | $144.40 | $192.09 | |
United
| Professional | $105.09 | $144.69 | $214.22 |