| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.82 | $40.82 | $86.67 | |
Aetna
| Professional | $29.94 | $55.24 | $115.36 | |
Cigna
| Professional | $29.08 | $60.98 | $143.96 | |
Molina
| Professional | $68.55 | $85.61 | $110.30 | |
Regence BlueShield
| Professional | $42.50 | $58.89 | $114.27 | |
United
| Professional | $63.99 | $75.33 | $120.33 |