| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.91 | $57.91 | $57.91 | |
Aetna
| Professional | $43.24 | $49.41 | $62.40 | |
Cigna
| Professional | $49.60 | $67.59 | $89.03 | |
Molina
| Professional | $35.60 | $46.28 | $72.36 | |
Regence BlueShield
| Professional | $46.88 | $54.00 | $72.33 | |
United
| Professional | $41.47 | $52.91 | $76.30 |