| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.47 | $228.47 | $228.47 | |
Aetna
| Professional | $130.37 | $158.65 | $228.47 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Molina
| Professional | $95.87 | $114.49 | $135.16 | |
Regence BlueShield
| Professional | $163.38 | $201.35 | $268.86 | |
United
| Professional | $145.60 | $204.40 | $300.27 |