| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.13 | $151.13 | $151.13 | |
Aetna
| Professional | $25.31 | $30.16 | $151.13 | |
Cigna
| Professional | $29.19 | $39.24 | $54.52 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $32.15 | $37.83 | $59.96 | |
United
| Professional | $24.96 | $31.47 | $46.80 |