| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.87 | $57.87 | $57.87 | |
Aetna
| Professional | $40.64 | $48.17 | $62.74 | |
Cigna
| Professional | $63.39 | $70.62 | $95.13 | |
Molina
| Professional | $46.39 | $75.20 | $138.66 | |
Regence BlueShield
| Professional | $55.20 | $61.33 | $81.28 | |
United
| Professional | $46.69 | $61.76 | $92.96 |