| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.88 | $80.88 | $95.55 | |
Aetna
| Professional | $80.88 | $80.88 | $313.33 | |
Cigna
| Facility | $76.34 | $95.63 | $120.57 | |
Cigna
| Professional | $69.73 | $69.73 | $95.63 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Professional | $76.70 | $76.70 | $83.68 | |
United
| Professional | $69.73 | $69.73 | $69.73 |