| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.24 | $96.24 | $96.24 | |
Aetna
| Professional | $58.23 | $70.83 | $96.24 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Molina
| Professional | $47.91 | $60.00 | $68.44 | |
Regence BlueShield
| Professional | $76.53 | $88.80 | $113.26 | |
United
| Professional | $62.82 | $85.41 | $119.35 |