| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.00 | $27.00 | $79.73 | |
Aetna
| Professional | $18.61 | $33.85 | $108.93 | |
Cigna
| Professional | $18.05 | $55.29 | $133.05 | |
Molina
| Professional | $44.97 | $57.78 | $72.43 | |
Regence BlueShield
| Professional | $25.86 | $38.46 | $105.04 | |
United
| Professional | $54.12 | $71.04 | $104.54 |