| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.82 | $22.14 | $66.18 | |
Molina
| Professional | $14.25 | $19.34 | $60.00 | |
Regence BlueShield
| Professional | $21.29 | $22.31 | $26.03 | |
United
| Professional | $11.55 | $17.88 | $23.60 |