| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.71 | $191.71 | $191.71 | |
Aetna
| Professional | $121.28 | $153.90 | $198.42 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Molina
| Professional | $95.87 | $114.49 | $135.16 | |
Regence BlueShield
| Professional | $163.38 | $201.35 | $270.73 | |
United
| Professional | $144.19 | $205.60 | $297.38 |