| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.40 | $37.40 | $37.40 | |
Aetna
| Professional | $26.58 | $31.92 | $39.83 | |
Cigna
| Professional | $41.23 | $46.31 | $61.95 | |
Molina
| Professional | $30.19 | $49.13 | $90.45 | |
Regence BlueShield
| Professional | $35.86 | $39.86 | $52.82 | |
United
| Professional | $30.28 | $40.00 | $61.20 |