| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.70 | $28.70 | $28.70 |
Aetna
| Professional | $51.42 | $64.25 | $342.61 | |
Cigna
| Professional | $62.08 | $80.50 | $119.08 | |
Molina
| Professional | $23.09 | $29.53 | $55.49 | |
Regence BlueShield
| Professional | $91.71 | $103.17 | $121.38 | |
United
| Professional | $56.74 | $60.27 | $97.22 |