| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.23 | $81.23 | $81.23 | |
Aetna
| Professional | $64.98 | $81.23 | $152.83 | |
Cigna
| Professional | $63.51 | $63.51 | $63.51 | |
Molina
| Professional | $35.36 | $45.00 | $192.70 | |
Regence BlueShield
| Professional | $79.62 | $107.06 | $118.27 | |
United
| Professional | $153.28 | $204.31 | $327.72 |