| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.11 | $86.11 | $86.11 | |
Aetna
| Professional | $62.63 | $69.89 | $93.96 | |
Cigna
| Professional | $69.04 | $69.04 | $69.04 | |
Molina
| Professional | $49.68 | $64.69 | $80.86 | |
Regence BlueShield
| Professional | $80.31 | $102.96 | $122.13 | |
United
| Professional | $69.80 | $90.40 | $136.36 |