| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.04 | $83.04 | $83.04 | |
Aetna
| Professional | $83.04 | $98.49 | $438.54 | |
Cigna
| Professional | $62.01 | $62.01 | $62.01 | |
Molina
| Professional | $60.00 | $123.62 | $135.12 | |
Regence BlueShield
| Professional | $84.52 | $106.39 | $106.39 | |
United
| Professional | $50.47 | $64.45 | $107.42 |