| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.95 | $81.95 | $81.95 | |
Aetna
| Professional | $78.98 | $81.95 | $84.92 | |
Cigna
| Professional | $69.67 | $87.05 | $104.30 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $186.92 | $219.91 | $236.11 | |
United
| Professional | $98.74 | $98.74 | $98.74 |