| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $18.20 | $35.43 | $191.82 | |
Cigna
| Facility | $39.94 | $39.94 | $39.94 | |
Cigna
| Professional | $33.95 | $39.94 | $77.25 | |
Molina
| Professional | $31.66 | $48.53 | $63.08 | |
Regence BlueShield
| Professional | $36.97 | $46.54 | $69.80 | |
United
| Professional | $21.51 | $28.19 | $33.11 |