| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.09 | $60.09 | $60.09 | |
Aetna
| Professional | $57.92 | $60.09 | $72.40 | |
Cigna
| Professional | $61.54 | $61.54 | $61.54 | |
Molina
| Professional | $60.00 | $65.95 | $81.86 | |
Regence BlueShield
| Facility | $103.60 | $129.19 | $185.48 | |
United
| Professional | $60.34 | $60.34 | $60.34 |