| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.06 | $30.06 | $342.27 | |
Aetna
| Professional | $22.79 | $28.37 | $51.54 | |
Cigna
| Professional | $28.19 | $35.97 | $56.19 | |
Molina
| Professional | $24.25 | $32.34 | $43.66 | |
Regence BlueShield
| Professional | $38.40 | $50.21 | $63.09 | |
United
| Professional | $21.60 | $28.83 | $38.40 |