| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.30 | $41.30 | $41.30 | |
Aetna
| Professional | $30.67 | $43.53 | $63.92 | |
Aetna
| Professional | 25 | $78.05 | $78.05 | $78.05 |
Cigna
| Professional | $33.81 | $53.80 | $94.75 | |
Molina
| Professional | $48.51 | $58.17 | $67.18 | |
Regence BlueShield
| Professional | $41.11 | $63.63 | $83.18 | |
United
| Professional | $37.20 | $55.04 | $74.81 |