| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.23 | $43.23 | $43.23 | |
Aetna
| Professional | $33.67 | $43.23 | $71.39 | |
Cigna
| Professional | $35.60 | $54.07 | $83.04 | |
Molina
| Professional | $22.63 | $29.37 | $38.52 | |
Regence BlueShield
| Professional | $59.99 | $66.65 | $74.51 | |
United
| Professional | $29.82 | $35.04 | $72.00 |