| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.20 | $80.20 | $80.20 | |
Aetna
| Professional | $56.51 | $66.48 | $85.82 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Molina
| Professional | $47.91 | $60.00 | $68.44 | |
Regence BlueShield
| Professional | $76.53 | $88.80 | $113.26 | |
United
| Professional | $63.51 | $86.80 | $126.46 |