| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.96 | $24.96 | $79.22 | |
Aetna
| Professional | $18.93 | $33.85 | $114.41 | |
Cigna
| Professional | $18.36 | $57.66 | $139.49 | |
Molina
| Professional | $44.97 | $57.78 | $72.43 | |
Regence BlueShield
| Professional | $25.86 | $36.43 | $110.59 | |
United
| Professional | $57.46 | $72.15 | $109.71 |