| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.49 | $38.49 | $38.49 | |
Aetna
| Professional | $38.49 | $70.34 | $102.10 | |
Cigna
| Professional | $70.70 | $103.37 | $138.99 | |
Molina
| Professional | $45.85 | $57.96 | $75.44 | |
Regence BlueShield
| Professional | $48.57 | $88.74 | $98.60 | |
United
| Professional | $33.32 | $59.32 | $92.31 |