| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.82 | $29.82 | $29.82 | |
Aetna
| Professional | $24.76 | $34.03 | $36.67 | |
Cigna
| Professional | $48.89 | $49.16 | $58.58 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $35.13 | $41.33 | $44.48 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $27.84 | $34.54 | $48.94 |