| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.84 | $23.84 | $34.79 | |
Aetna
| Professional | $23.84 | $34.79 | $73.19 | |
Cigna
| Professional | $21.38 | $31.25 | $39.27 | |
Molina
| Professional | $17.70 | $47.38 | $88.80 | |
Regence BlueShield
| Professional | $20.43 | $27.36 | $40.61 | |
United
| Professional | $21.78 | $24.14 | $47.52 |