| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.35 | $46.35 | $46.35 | |
Aetna
| Professional | $21.98 | $25.31 | $46.35 | |
Cigna
| Professional | $21.00 | $32.94 | $53.72 | |
Molina
| Professional | $1.21 | $30.00 | $117.29 | |
Regence BlueShield
| Professional | $24.13 | $31.38 | $38.90 | |
United
| Professional | $22.04 | $27.36 | $40.54 |