| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.80 | $17.80 | $239.30 | |
Aetna
| Facility | 52 | $8.90 | $8.90 | $8.90 |
Aetna
| Professional | $12.42 | $17.64 | $61.00 | |
Cigna
| Professional | $16.66 | $21.62 | $32.75 | |
Molina
| Professional | $10.38 | $25.19 | $285.68 | |
Regence BlueShield
| Professional | $22.19 | $29.00 | $37.20 | |
United
| Professional | $12.60 | $16.64 | $22.50 |