| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.47 | $32.47 | $32.47 | |
Aetna
| Professional | $27.93 | $35.00 | $73.62 | |
Cigna
| Professional | $39.02 | $54.79 | $107.61 | |
Molina
| Professional | $24.93 | $32.34 | $43.66 | |
Regence BlueShield
| Professional | $60.72 | $104.73 | $114.93 | |
United
| Professional | $31.45 | $51.54 | $69.03 |