| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.00 | $36.00 | $56.27 | |
Aetna
| Professional | $28.52 | $41.74 | $56.27 | |
Cigna
| Professional | $39.54 | $55.67 | $79.58 | |
Molina
| Professional | $47.91 | $58.17 | $68.44 | |
Regence BlueShield
| Professional | $34.81 | $49.42 | $68.26 | |
United
| Professional | $43.01 | $56.55 | $83.73 |