| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.06 | $29.81 | $29.81 | |
Aetna
| Professional | $20.75 | $24.61 | $31.69 | |
Cigna
| Professional | $18.00 | $28.59 | $43.91 | |
Molina
| Professional | $24.93 | $32.34 | $52.34 | |
Regence BlueShield
| Professional | $21.04 | $27.51 | $34.39 | |
United
| Professional | $19.14 | $24.64 | $36.71 |