| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.23 | $242.23 | $242.23 | |
Aetna
| Professional | $111.97 | $181.84 | $242.23 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
Molina
| Professional | $120.13 | $158.20 | $191.47 | |
Regence BlueShield
| Professional | $194.41 | $243.30 | $286.23 | |
United
| Professional | $168.97 | $224.68 | $325.24 |