| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.68 | $20.68 | $20.68 | |
Aetna
| Professional | $14.97 | $20.68 | $21.41 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $19.98 | $22.21 | $27.36 | |
United
| Professional | $21.41 | $22.74 | $39.69 |