| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.36 | $137.36 | $137.36 | |
Aetna
| Professional | $73.34 | $105.43 | $137.36 | |
Cigna
| Professional | $96.42 | $96.42 | $96.42 | |
Molina
| Professional | $71.44 | $93.51 | $113.84 | |
Regence BlueShield
| Professional | $111.68 | $136.94 | $168.08 | |
United
| Professional | $97.07 | $129.97 | $190.19 |