| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.91 | $25.91 | $42.09 | |
Aetna
| Professional | $17.78 | $31.42 | $84.10 | |
Cigna
| Professional | $25.04 | $34.18 | $45.84 | |
Molina
| Professional | $20.38 | $58.77 | $84.12 | |
Regence BlueShield
| Professional | $24.41 | $32.85 | $43.53 | |
United
| Professional | $25.08 | $29.24 | $54.72 |