| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.38 | $33.38 | $42.47 | |
Aetna
| Professional | $27.33 | $38.18 | $86.92 | |
Aetna
| Professional | 25 | $41.32 | $41.32 | $41.32 |
Cigna
| Professional | $35.22 | $48.11 | $73.31 | |
Molina
| Professional | $47.35 | $61.16 | $75.03 | |
Regence BlueShield
| Professional | $31.41 | $45.23 | $62.58 | |
United
| Professional | $35.10 | $46.79 | $70.59 |