| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.24 | $101.24 | $101.24 | |
Aetna
| Professional | $71.76 | $81.03 | $110.57 | |
Cigna
| Professional | $79.45 | $79.45 | $79.45 | |
Molina
| Professional | $49.68 | $64.69 | $80.86 | |
Regence BlueShield
| Professional | $92.03 | $121.06 | $143.59 | |
United
| Professional | $81.29 | $106.00 | $159.00 |