| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.15 | $30.15 | $30.15 | |
Aetna
| Professional | $20.52 | $27.13 | $103.75 | |
Cigna
| Professional | $27.72 | $37.09 | $59.27 | |
Molina
| Professional | $18.63 | $44.64 | $179.43 | |
Regence BlueShield
| Professional | $40.03 | $52.33 | $67.20 | |
United
| Professional | $22.80 | $27.36 | $40.54 |