| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.60 | $15.60 | $15.60 | |
Aetna
| Professional | $15.60 | $31.02 | $37.22 | |
Cigna
| Professional | $34.18 | $34.18 | $34.18 | |
Molina
| Professional | $30.00 | $37.89 | $45.00 | |
Regence BlueShield
| Professional | $32.56 | $38.29 | $47.00 | |
United
| Professional | $26.98 | $34.40 | $49.62 |