| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.34 | $123.34 | $123.34 | |
Aetna
| Professional | $82.91 | $123.34 | $483.20 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
Molina
| Professional | $45.00 | $282.18 | $308.44 | |
Regence BlueShield
| Professional | $75.45 | $83.84 | $101.88 | |
United
| Professional | $89.74 | $118.91 | $184.63 |