| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.61 | $54.44 | $104.33 | |
Aetna
| Professional | $20.70 | $40.04 | $59.68 | |
Cigna
| Professional | $30.00 | $46.00 | $63.67 | |
Molina
| Professional | $48.51 | $61.01 | $71.77 | |
Regence BlueShield
| Professional | $26.40 | $38.25 | $66.72 | |
United
| Professional | $39.90 | $49.38 | $68.88 |