| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.02 | $67.02 | $67.02 | |
Aetna
| Professional | $34.22 | $61.17 | $83.88 | |
Cigna
| Professional | $37.88 | $64.34 | $95.73 | |
Molina
| Professional | $22.48 | $28.98 | $38.62 | |
Regence BlueShield
| Professional | $42.84 | $53.04 | $92.41 | |
United
| Professional | $42.87 | $56.40 | $85.68 |