| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.43 | $51.43 | $51.43 | |
Aetna
| Professional | $38.33 | $46.23 | $58.33 | |
Cigna
| Professional | $45.16 | $52.78 | $75.75 | |
Molina
| Professional | $24.45 | $32.34 | $43.66 | |
Regence BlueShield
| Professional | $46.29 | $51.43 | $64.64 | |
United
| Professional | $33.56 | $44.64 | $62.00 |