| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.19 | $153.19 | $153.19 | |
Aetna
| Professional | $131.80 | $153.19 | $666.55 | |
Cigna
| Professional | $94.26 | $94.26 | $94.26 | |
Molina
| Professional | $60.00 | $187.90 | $205.39 | |
Regence BlueShield
| Professional | $128.47 | $161.71 | $161.71 | |
United
| Professional | $76.70 | $97.97 | $163.28 |