| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.36 | $40.36 | $40.36 | |
Aetna
| Professional | $23.73 | $34.03 | $103.00 | |
Cigna
| Professional | $34.44 | $46.44 | $71.64 | |
Molina
| Professional | $24.45 | $32.34 | $43.66 | |
Regence BlueShield
| Professional | $47.07 | $65.87 | $87.03 | |
United
| Professional | $26.70 | $35.60 | $47.50 |