| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.70 | $28.70 | $37.79 | |
Aetna
| Professional | $25.32 | $34.28 | $52.32 | |
Aetna
| Professional | 25 | $37.21 | $37.21 | $51.58 |
Cigna
| Professional | $34.46 | $45.15 | $64.00 | |
Molina
| Professional | $47.91 | $58.17 | $68.44 | |
Regence BlueShield
| Professional | $35.86 | $47.25 | $60.26 | |
United
| Professional | $33.00 | $44.00 | $66.00 |