| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.59 | $25.35 | $168.93 | |
Aetna
| Professional | $19.19 | $23.31 | $31.53 | |
Cigna
| Professional | $22.12 | $27.61 | $34.56 | |
Molina
| Professional | $36.22 | $39.61 | $87.13 | |
Regence BlueShield
| Professional | $22.57 | $25.08 | $30.95 | |
United
| Professional | $17.32 | $22.40 | $34.15 |