| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.82 | $130.82 | $130.82 | |
Aetna
| Professional | $62.35 | $98.61 | $130.82 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Molina
| Professional | $72.17 | $93.67 | $114.31 | |
Regence BlueShield
| Professional | $107.89 | $132.10 | $159.41 | |
United
| Professional | $88.16 | $117.73 | $183.43 |