| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.12 | $84.12 | $84.12 | |
Aetna
| Professional | $56.52 | $66.02 | $84.12 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Molina
| Professional | $71.61 | $86.03 | $101.21 | |
Regence BlueShield
| Professional | $75.83 | $88.80 | $118.79 | |
United
| Professional | $64.09 | $86.19 | $127.62 |